Crossroads | |
512 Commercial St Elko NV 89801-3741 | |
(775) 934-5810 | |
Not Available |
Full Name | Crossroads |
---|---|
Speciality | Behavior Analyst |
Location | 512 Commercial St, Elko, Nevada |
Authorized Official Name and Position | Michelle Renee Canning (BCBA) |
Authorized Official Contact | 7759345810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossroads Po Box 1193 Elko NV 89803-1193 Ph: (775) 934-5810 | Crossroads 512 Commercial St Elko NV 89801-3741 Ph: (775) 934-5810 |
NPI Number | 1730497215 |
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Provider Enumeration Date | 09/19/2010 |
Last Update Date | 09/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730497215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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