Garry Kunicki
Behavior Analyst in N Las Vegas, NV. Individual provider (NPI-1).
NPI number1124454889
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1124454889
- Entity type
- Individual (NPI-1)
- Name
- Garry Kunicki
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2013
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 2472E0500X | Technician, Other, EEG | – | – |
Practice location
3931 Blue Coral DrN Las Vegas, NV 89032-3465
Phone 702-610-7416
Mailing address
3931 Blue Coral DrN Las Vegas, NV 89032-3465
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