Individual
KEANA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
(702) 527-7939
Mailing address
PO BOX 516558, LOS ANGELES, CA 90051-0596
(702) 939-8557
(702) 939-8554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
10/25/2018
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