Individual
KEITH ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7473 W LAKE MEAD BLVD # 205, LAS VEGAS, NV 89128-0265
(702) 562-1294
Mailing address
6103 SUNDOWN CREST ST, LAS VEGAS, NV 89113-6602
(702) 364-4694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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