Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | NV |
NPI | 1003418237 |
---|---|
Provider Name | Kanami Nash |
First Address | Las Vegas, NV 89103-6132 |
Second Address | Las Vegas, NV 89118-2506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2020 |
Last Update Date | 04/01/2021 |