Individual
KEMONI BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 W CHEYENNE AVE, SUITE 104, NORTH LAS VEGAS, NV 89032-8929
(702) 202-2567
Mailing address
5575 SIMMONS ST, #1-363, NORTH LAS VEGAS, NV 89031-9009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
10/26/2015
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