Individual
KYNICKI ROSHA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIPLOMA
Contact information
Practice address
2700 E SUNSET RD STE 7, LAS VEGAS, NV 89120-3507
(702) 228-8788
(702) 832-0197
Mailing address
6214 OSAKA PEARL ST, NORTH LAS VEGAS, NV 89031-2071
(702) 845-5115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
04/11/2018
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