Individual
KEITH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-8003
(702) 283-8874
Mailing address
807 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-8003
(702) 283-8874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
NV
Enumeration date
09/16/2012
Last updated
09/16/2012
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