Individual
KATHY AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 VITALE AVE, HENDERSON, NV 89002-9208
(702) 376-2838
Mailing address
1325 CHAPARRAL SUMMIT DR., LAS VEGAS, NV 89117
(951) 570-6544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
07/19/2017
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