Individual
KINDRA ISABELL SHINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2138 PONTICELLO DR, HENDERSON, NV 89052-5546
(702) 496-5616
Mailing address
2138 PONTICELLO DR, HENDERSON, NV 89052-5546
(702) 496-5616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0516
NV
106E00000X
Assistant Behavior Analyst
Primary
0-18-8701
—
106S00000X
Behavior Technician
RBT-16-17706
—
Other
Enumeration date
04/12/2018
Last updated
02/25/2026
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