Individual
CHARLIZE ISABELA ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
Mailing address
912 ANGEL STAR LN, LAS VEGAS, NV 89145-2441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3616
NV
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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