Individual
KENYA CHEYENNE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
615 SANDANA CIR, LAS VEGAS, NV 89123-0175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT-2829
NV
Other
Enumeration date
02/10/2019
Last updated
09/13/2021
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