Individual
KELLY DEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 502-8021
Mailing address
8716 CASTLE RIDGE AVE, LAS VEGAS, NV 89129-8307
(310) 613-3997
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA0321
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2016
Last updated
07/24/2020
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