Individual
KETTY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2071 E CAMERO AVE, LAS VEGAS, NV 89123
(702) 767-9889
Mailing address
2071 E CAMERO AVE, LAS VEGAS, NV 89123-2513
(702) 767-9889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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