Individual
KAMAL SHONTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 LAKE EAST DR, LAS VEGAS, NV 89117-2205
(702) 823-9020
Mailing address
3001 LAKE EAST DR, LAS VEGAS, NV 89117-2205
(702) 823-9020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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