Individual
KEARSTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRIAG RD, 105, NORTH LAS VEGAS, NV 89310
(818) 262-6488
Mailing address
5803 W CRIAG RD, 105, NORTH LAS VEGAS, NV 89310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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