MEDICARE: MICHELLE R CANNING BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	LBAT081111	NV

General Provider Information

NPI Number	:	1356624514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE R CANNING BCBA

Provider Business Mailing Address
First Line	:	PO BOX 1193
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89803-1193
Country	:	US
Telephone Number	:	775-934-5810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 LAMOILLE HWY STE 103
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-4397
Country	:	US
Telephone Number	:	775-934-5810
Fax Number	:	775-777-1293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	06/11/2020

Similar Medicare Providers

1871101618 — LETICIA CERVANTES
Practice Location Address:

1250 LAMOILLE HWY STE 103
ELKO, NV
89801-4397

Practice Phone: 775-777-1292
Practice Fax:

1891027876 — MRS. LESLIE MARIE RANGEL LCSW
Practice Location Address:

1250 LAMOILLE HWY STE 310
ELKO, NV
89801-4397

Practice Phone: 702-271-3942
Practice Fax:

1164869251 — VICKI REID
Practice Location Address:

1250 LAMOILLE HWY STE 208
ELKO, NV
89801-4397

Practice Phone: 775-738-4158
Practice Fax: 775-753-6487

1518304609 — ERIN TERRY
Practice Location Address:

1250 LAMOILLE HWY STE 208
ELKO, NV
89801-4397

Practice Phone: 775-738-4158
Practice Fax: 775-753-6487

1508203696 — MONICA GONZALEZ
Practice Location Address:

1250 LAMOILLE HWY STE 208
ELKO, NV
89801-4397

Practice Phone: 775-738-4158
Practice Fax: 775-753-6487

1275970360 — LAUREN HORNADAY CADC-I
Practice Location Address:

1250 LAMOILLE HWY STE 208
ELKO, NV
89801-4397

Practice Phone: 775-738-4158
Practice Fax: 775-753-6487

Directions to “ MICHELLE R CANNING BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.