Kyle Robert Bradshaw Daugherty
Behavior Technician in Sparks, NV. Individual provider (NPI-1).
NPI number1164035135
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1164035135
- Entity type
- Individual (NPI-1)
- Name
- Kyle Robert Bradshaw Daugherty
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
300 Los Altos Pkwy Ste 109Sparks, NV 89436-7754
Phone 775-996-3890
Mailing address
15130 Western Springs DrReno, NV 89521-8313
Phone 775-351-3677
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All 309 Behavior Technician providers in Sparks · All 2,555 providers in Sparks
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