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Individual

KEVIN POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1420 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5660
(818) 241-6780
(818) 241-6853
Mailing address
505 N BRAND BLVD STE 1000, GLENDALE, CA 91203-3924
(818) 241-6780
(818) 241-6853

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/04/2015
Last updated
12/04/2015
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