Individual
EDDA STANGE LADIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 W TROPICANA AVE, LAS VEGAS, NV 89103-4754
(702) 209-0370
Mailing address
824 BEECH AVE, JEAN, NV 89019-8503
(702) 801-1577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NV
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
05/28/2024
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