Individual
MS. KRISTY ROSE SICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 ANGLER CIR UNIT 202, LAS VEGAS, NV 89122-7342
(702) 986-3969
Mailing address
8174 LAS VEGAS BLVD S # 96, LAS VEGAS, NV 89123-1029
(702) 986-3969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000591746
—
NV
Enumeration date
02/25/2019
Last updated
02/25/2019
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