Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst |
NPI | 1003576703 |
---|---|
Provider Name | Laneader Crowe |
First Address | North Las Vegas, NV 89032-2254 |
Second Address | North Las Vegas, NV 89032-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2021 |
Last Update Date | 21/12/2021 |