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Individual

ANDERO ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4443 SUN VISTA DR., LAS VEGAS, NV 89104
(702) 685-7918
Mailing address
4262 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7789
(702) 497-3472

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263707565
NV
Enumeration date
10/14/2010
Last updated
10/14/2010
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