Basic Information
| Provider Information | |||||||||
| NPI: | 1306282991 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEED | ||||||||
| FirstName: | CAPRICIA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1310 PINE TERRACE CT | ||||||||
| Address2: | |||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890311098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023991219 | ||||||||
| FaxNumber: | 7023991219 | ||||||||
| Practice Location | |||||||||
| Address1: | 1310 PINE TERRACE CT | ||||||||
| Address2: | |||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890311098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023991219 | ||||||||
| FaxNumber: | 7023991219 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2013 | ||||||||
| LastUpdateDate: | 05/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.