| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1943 Sierra Dr, Elko, Nevada |
| Authorized Official Name and Position | Stephanie Lyne Christensen (MEMBER) |
| Authorized Official Contact | 7753400712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1193 Elko NV 89803-1193 Ph: (775) 340-0712 | 1943 Sierra Dr Elko NV 89801-4501 Ph: (775) 340-0712 |
| NPI Number | 1538448360 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538448360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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