Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | LBA0518 | NV |
N | 106E00000X | Assistant Behavior Analyst | LABA0010 | NV |
NPI | 1063954295 |
---|---|
Provider Name | Kimberly Henkle |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2016 |
Last Update Date | 14/05/2021 |