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Organization
THE INSTITUTE OF AUTISM AND NEURODEVELOPMENT
Active
Organization
THE INSTITUTE OF AUTISM AND NEURODEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE CHADDICK CPC, PSY.D. M.S. (OWNER)
(702) 931-8990
Entity
Organization
Contact information
Practice address
8350 W SAHARA AVE STE 130, LAS VEGAS, NV 89117-8940
(702) 931-8990
Mailing address
695 TALL ARROW AVE, LAS VEGAS, NV 89178-1301
(702) 931-8990
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CI0276
NV
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
NV20171307801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073951786
—
NV
Enumeration date
05/18/2017
Last updated
05/18/2017
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