Individual
KELLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2193
Mailing address
2386 MILLCROFT DR, HENDERSON, NV 89074-5945
(310) 743-2143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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