Individual
KYLE MICHAEL CHADDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130
(702) 869-4300
Mailing address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 931-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP2985
NV
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/05/2013
Last updated
03/04/2022
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