Individual
ANDREE J ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 W CHEYENNE AVE STE 120, NORTH LAS VEGAS, NV 89032-8261
(702) 331-1917
Mailing address
3560 W CHEYENNE AVE STE 120, NORTH LAS VEGAS, NV 89032-8261
(702) 331-1917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401685008
—
NV
Enumeration date
12/12/2017
Last updated
12/12/2017
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