Individual
KEITH A STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 E RUSSELL RD, 210, LAS VEGAS, NV 89120-2201
(702) 629-4354
(702) 644-0475
Mailing address
10701 S EASTERN AVE APT 2618, HENDERSON, NV 89052-4901
(702) 538-0230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
12/20/2018
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