Individual
KASEY CHAFETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8670 W CHEYENNE AVE STE 110, LAS VEGAS, NV 89129-7457
(725) 202-1497
Mailing address
8670 W CHEYENNE AVE STE 110, LAS VEGAS, NV 89129-7457
(725) 202-1497
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-120539
NV
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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