Individual
LIANNE KOUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 RENAISSANCE DR STE A, LAS VEGAS, NV 89119-6191
(702) 739-7716
(702) 597-2242
Mailing address
170 S GREEN VALLEY PKWY STE 300, HENDERSON, NV 89012-3145
(702) 917-0667
(702) 917-0667
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
05/02/2014
Last updated
03/14/2019
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