Individual
KEN HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BST/PSR
Contact information
Practice address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 608-7290
(702) 522-6075
Mailing address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 608-7290
(702) 522-6075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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