Individual
CHKYIAH WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E TROPICANA AVE STE 375, LAS VEGAS, NV 89119-6520
(702) 909-8900
(702) 909-8905
Mailing address
1515 E TROPICANA AVE STE 375, LAS VEGAS, NV 89119-6520
(702) 909-8900
(702) 909-8905
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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