Individual
KEYERA SHAWNAY PORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MARTIN LUTHER KING BLVD, SUITE 217, NORTH LAS VEGAS, NV 89030
(702) 578-1933
Mailing address
5800 W LAKE MEAD BLVD APT 2075, LAS VEGAS, NV 89108-6226
(702) 349-2928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA426
NV
Other
Enumeration date
03/09/2018
Last updated
10/10/2023
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