Individual
KENNETH HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3771 KING PALM AVE, LAS VEGAS, NV 89115-8134
(702) 426-8311
Mailing address
3771 KING PALM AVE, LAS VEGAS, NV 89115-8134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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