Most Relevant Information
Provider Data
| NPI Number: | 1003418237 |
| Provider Name: | KANAMI NASH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
5940 S RAINBOW BLVD
LAS VEGAS
NV
891182506
Practice Location Phone/Fax
| Phone: | 9252641902 |
| Fax: |
Provider Mailing Location
5060 INDIAN RIVER DR UNIT 376
LAS VEGAS
NV
891036132
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |