Individual
MR. JUSTIN N KYRIANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA,LBA, LMHC
Contact information
Practice address
9167 W FLAMINGO RD, LAS VEGAS, NV 89147
(702) 565-1894
(702) 565-0056
Mailing address
9167 W FLAMINGO RD, LAS VEGAS, NV 89147-6472
(702) 565-1894
(702) 565-0056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BCBA 1-02-0938
TN
103K00000X
Behavior Analyst
Primary
LBA0029
NV
103K00000X
Behavior Analyst
LBA143
NY
Other
Enumeration date
09/24/2007
Last updated
08/22/2018
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