Individual
KALI RENE MARTINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 GRAND MONTECITO PKWY STE 130, LAS VEGAS, NV 89149-0261
(702) 396-0101
Mailing address
7125 GRAND MONTECITO PKWY STE 130, LAS VEGAS, NV 89149-0261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB501081
NV
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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