Individual
ANDREA M DACIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
(702) 869-4301
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
(702) 869-4301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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