Individual
KEVIN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6869 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1670
(702) 272-1879
Mailing address
6869 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1670
(702) 272-1879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
05/04/2022
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