Individual
ANDRE M GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBA
Contact information
Practice address
3430 E FLAMINGO RD STE 220, LAS VEGAS, NV 89121-5065
(702) 202-2040
(702) 202-6551
Mailing address
1350 E FLAMINGO RD # 577, LAS VEGAS, NV 89119-5263
(702) 202-2040
(702) 202-6551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073750626
—
NV
Enumeration date
11/21/2011
Last updated
11/21/2011
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