Individual
KIMBERLY RENEE BOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC INTERN
Contact information
Practice address
544 S BOULDER HWY, HENDERSON, NV 89015-7512
(702) 564-1899
(702) 359-6579
Mailing address
544 S BOULDER HWY, HENDERSON, NV 89015-7512
(702) 564-1899
(702) 359-6579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CI0356
NV
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/14/2012
Last updated
06/16/2018
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