NPI 1770083552 · live from the CMS NPI Registry
Keith Addison
Behavior Analyst in Las Vegas, NV. National Provider Identifier 1770083552, active.
NPI record
| NPI | 1770083552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7473 W Lake Mead Blvd # 205, Las Vegas, NV 89128 |
| Practice phone | 702-562-1294 |
| Mailing address | 6103 Sundown Crest St, Las Vegas, NV 89113 |
| Enumerated | February 18, 2018 |
| Last updated | February 18, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.