Provider Demographics
NPI:1699221713
Name:NUNEZ ROMERO, KENIA YANETZA
Entity Type:Individual
Prefix:
First Name:KENIA
Middle Name:YANETZA
Last Name:NUNEZ ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 S MARYLAND PKWY
Mailing Address - Street 2:APT. N-207
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1570
Mailing Address - Country:US
Mailing Address - Phone:702-542-0812
Mailing Address - Fax:
Practice Address - Street 1:2870 S JONES BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5643
Practice Address - Country:US
Practice Address - Phone:702-323-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst