Individual
MS. ELICIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BST
Contact information
Practice address
900 KAREN AVE, SUITE B203, LAS VEGAS, NV 89109-1264
(702) 893-2002
(702) 369-3334
Mailing address
6800 E LAKE MEAD BLVD, 2029, LAS VEGAS, NV 89156-1119
(702) 689-4702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV2014064283
—
NV
Enumeration date
08/12/2015
Last updated
08/12/2015
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