MEDICARE: TORQUEENIA KEMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1811323355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORQUEENIA KEMP

Provider Business Mailing Address
First Line	:	3949 HAMPTON GROVE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7923
Country	:	US
Telephone Number	:	702-826-8201
Fax Number	:

Provider Business Practice Location Address
First Line	:	5160 S EASTERN AVE STE C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2300
Country	:	US
Telephone Number	:	702-738-2401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2013
Last Update Date	:	09/16/2013

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Directions to “ TORQUEENIA KEMP ” Practice Location

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