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700 Pyramid Dr Las Vegas NV 89107-2168 | |
| (702) 504-8818 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 700 Pyramid Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Kenshia Mckinzie (OWNER) |
| Authorized Official Contact | 7025048818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
700 Pyramid Dr Las Vegas NV 89107-2168 Ph: (702) 504-8818 | 700 Pyramid Dr Las Vegas NV 89107-2168 Ph: (702) 504-8818 |
| NPI Number | 1356787931 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356787931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | NV20131138939 (Nevada) | Primary |
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