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Individual

KAYANA IEISHA-MARIE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
(702) 527-7939
Mailing address
3016 W CHARLESTON BLVD STE 205, LAS VEGAS, NV 89102-1963
(702) 780-2315
(702) 895-4014

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52418
NV
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770968844
NV
01
RBT-18-52418
BEHAVIOR ANALYST CERTIFICATION BOARD
NV
Enumeration date
07/29/2015
Last updated
12/10/2019
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