Individual
KENSHIA MCKINZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PYRAMID DR, LAS VEGAS, NV 89107-2168
(702) 504-8818
Mailing address
700 PYRAMID DR, LAS VEGAS, NV 89107-2168
(702) 504-8818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV20131138939
NV
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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