Individual
KIERRA N KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD STE 3600, HENDERSON, NV 89074-7186
(702) 680-1526
Mailing address
186 RUBY RIDGE AVE # 89002, HENDERSON, NV 89002-9261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NV
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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