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Individual

KEITH KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5928 PERFECT VIEW ST, LAS VEGAS, NV 89130-7227
(702) 742-2862
Mailing address
5928 PERFECT VIEW ST, LAS VEGAS, NV 89130-7227

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV
103K00000X
Behavior Analyst

Other

Enumeration date
09/06/2013
Last updated
09/06/2013
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