Individual
SHEA S REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
8720 CRESCENT RIDGE LN, LAS VEGAS, NV 89134-0302
(702) 600-9082
Mailing address
8720 CRESCENT RIDGE LN, LAS VEGAS, NV 89134-0302
(702) 600-9082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12937
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
REDDS
SWBHC STAFF CODE
UT
Enumeration date
09/27/2007
Last updated
01/17/2018
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