Provider Demographics
NPI:1679915623
Name:CARTER-WATSON, CLEORA S
Entity type:Individual
Prefix:
First Name:CLEORA
Middle Name:S
Last Name:CARTER-WATSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 TRANSVERSE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1170
Mailing Address - Country:US
Mailing Address - Phone:702-815-0202
Mailing Address - Fax:702-586-6645
Practice Address - Street 1:6150 TRANSVERSE DR STE 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1170
Practice Address - Country:US
Practice Address - Phone:702-815-0202
Practice Address - Fax:702-586-6645
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst