Individual
KELLY MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N GREEN VALLEY PKWY STE 9B, HENDERSON, NV 89074-5991
(702) 333-4005
Mailing address
1701 N GREEN VALLEY PKWY STE 9B, HENDERSON, NV 89074-5991
(702) 333-4005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3900
NV
Other
Enumeration date
11/28/2023
Last updated
12/07/2023
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