Individual
BRIAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2075 E WINDMILL LN STE 150, LAS VEGAS, NV 89123-2085
(702) 326-5996
Mailing address
2075 E WINDMILL LN STE 150, LAS VEGAS, NV 89123-2085
(702) 326-5996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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