Individual ProviderDavid KanozaCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd Bldg 7, Las Vegas, NV 89146-1126(702) 486-4004PECOS EnrollmentBased on the most recent information from CMS, provider David Kanoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1306999487Provider TypeIndividualFull NameKanoza, DavidCredentialM.AGenderMaleSole ProprietorNoEnumeration Date1/19/2007Last Updated1/23/2023Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Bldg 7, Las Vegas, NV 89146-1126Phone(702) 486-4004FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd Bldg 7, Las Vegas, NV 89146-1126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCP0090NevadaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense208165Pennsylvania