Individual
SANTANA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7390 W SAHARA AVE, 270, LAS VEGAS, NV 89117-2763
(702) 852-2417
Mailing address
600 E BONANZA RD, 304, LAS VEGAS, NV 89101-3039
(414) 574-6654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
C20170306
NV
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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