Individual
SHANNON KIEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 E SUNSET RD STE 3, LAS VEGAS, NV 89120-3507
(702) 270-3219
Mailing address
4939 DROUBAY DR, LAS VEGAS, NV 89122-8131
(702) 545-5933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CABI00009
NV
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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