Individual
SANDRA MARIE PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, LABA (NV) BCABA
Contact information
Practice address
10574 MOSS WOOD CT, RENO, NV 89521-4148
(775) 843-7574
Mailing address
1850 IDLEWILD DR APT D1, RENO, NV 89509-1025
(559) 906-2232
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA430
NV
106S00000X
Behavior Technician
RBT1447
NV
Other
Enumeration date
07/23/2020
Last updated
12/12/2023
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