Individual
ROBERTA BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 S PECOS RD, LAS VEGAS, NV 89120-1299
(702) 560-5973
Mailing address
5033 BLUE ROSE ST, NORTH LAS VEGAS, NV 89081-2676
(702) 205-4301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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