Individual
MRS. KIMBERLY COOLIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD, STE 150, LAS VEGAS, NV 89119-5190
(702) 270-3219
Mailing address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1730440
NV
Other
Enumeration date
02/03/2017
Last updated
07/21/2022
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