Individual
CIAN KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
7880 W MAULE AVE UNIT 1070, LAS VEGAS, NV 89113-5382
(725) 254-8037
Mailing address
7880 W MAULE AVE UNIT 1070, LAS VEGAS, NV 89113-5382
(725) 254-8037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376658
NV
106S00000X
Behavior Technician
RBT4578
NV
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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