Individual
KARA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N BUFFALO DR APT 2012, LAS VEGAS, NV 89128-0280
(310) 953-6423
Mailing address
2201 N BUFFALO DR APT 2012, LAS VEGAS, NV 89128-0280
(310) 953-6423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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