Kyrra-Lyssa Douglas
Kyrra-Lyssa Douglas is a Rehabilitation Practitioner in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
9029 S Pecos RdHenderson, NV 89074-7197
Phone: (702) 680-1527
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1972911477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2014 |
| Last updated in NPPES | June 26, 2020 |
| Certification date | June 26, 2020 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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