Individual
MR. TAVARES DE'ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 TAMERACK AVE, LAS VEGAS, NV 89106-1418
(702) 742-3561
Mailing address
1100 TAMERACK AVE, LAS VEGAS, NV 89106-1418
(702) 742-3561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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