Individual
KIANTE' GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4560 S EASTERN AVE STE 18, LAS VEGAS, NV 89119-6182
(702) 673-8209
Mailing address
1842 N DECATUR BLVD UNIT 103, LAS VEGAS, NV 89108-8910
(872) 212-0720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400852
TN
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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