Blalark, Debra

Blalark, Debra is an individual health care provider with primary practice located at 2124 W El Campo Grande Ave , North Las Vegas NV 89031-3819. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blalark, Debra can be contacted via phone (702) 768-5488.

Contact Information

Primary practice address
2124 W El Campo Grande Ave North Las Vegas NV 89031-3819
Phone: (702) 768-5488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1194269233
LBN Legal business name Blalark, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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