Individual
ANDREW SMITH KOPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4350 E SUNSET RD STE 203, HENDERSON, NV 89014-2260
(702) 547-6971
(702) 547-6948
Mailing address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79043
NV
106E00000X
Assistant Behavior Analyst
0-23-14278
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-23-14278
BACB
NV
01
—
1-25-79043
BEHAVIOR ANALYST CERTIFICATION BOARD
NV
Enumeration date
08/28/2019
Last updated
01/29/2025
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