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Individual

KAZEEM SHINABA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7251 W LAKE MEAD BLVD STE 300, LAS VEGAS, NV 89128-8380
(502) 387-2300
Mailing address
3854 TATIANA ST, LAS VEGAS, NV 89115-2405
(725) 502-7530

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-269917
NV
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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