Individual
KAYLA JENAI WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 572-8830
Mailing address
2921 ASHER LN, NORTH LAS VEGAS, NV 89032-0568
(702) 572-8830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1403342155
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403342155
DRIVERS LICENSE
NV
Enumeration date
03/31/2018
Last updated
03/31/2018
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