Individual
TRAVIS STEVEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
569 BECKTON PARK AVE, LAS VEGAS, NV 89178-2402
(763) 222-8004
Mailing address
569 BECKTON PARK AVE, LAS VEGAS, NV 89178-2402
(763) 222-8004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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