Individual
KADEEM MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89052-5080
(702) 610-2076
Mailing address
2340 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89052-5080
(702) 610-1684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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