Individual
KENNETH JAMES KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
3785 BAKER LN STE 201, RENO, NV 89509-5454
(775) 996-3890
Mailing address
3785 BAKER LN STE 201, RENO, NV 89509-5454
(775) 996-3890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0092
NV
385H00000X
Respite Care
—
—
Other
Enumeration date
10/03/2016
Last updated
12/19/2022
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