Individual
KENNETH SHEPARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9332 BEAR BASIN CT, LAS VEGAS, NV 89178-5707
(702) 574-1996
Mailing address
9332 BEAR BASIN CT, LAS VEGAS, NV 89178-5707
(702) 574-1996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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