Whitaker, Trico

Whitaker, Trico is an individual health care provider with primary practice located at 6268 Berry Patch Way , Las Vegas NV 89142-0970. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Whitaker, Trico can be contacted via phone (702) 641-9884.

Contact Information

Primary practice address
6268 Berry Patch Way Las Vegas NV 89142-0970
Phone: (702) 641-9884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X NV20121267098 Nevada

Profile Details

NPI number 1114342060
LBN Legal business name Whitaker, Trico
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2014
Last updated Mar 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114342060 NPPES
Nevada MEDICAID 1710246921

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