Individual
CONSTANCE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 S EASTERN AVE STE 360, LAS VEGAS, NV 89169
(702) 756-8987
Mailing address
3650 S EASTERN AVE STE 360, LAS VEGAS, NV 89169-3345
(702) 756-8987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/24/2021
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