Organization
THE INSTITUTE OF AUTISM AND NEURODEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE CHADDICK CPC, PSY.D. M.S. (OWNER)
(702) 931-8990
Entity
Organization
Contact information
Practice address
8350 W SAHARA AVE STE 130, LAS VEGAS, NV 89117-8940
(702) 931-8990
Mailing address
695 TALL ARROW AVE, LAS VEGAS, NV 89178-1301
(702) 931-8990
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CI0276
NV
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
NV20171307801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073951786
—
NV
Enumeration date
05/18/2017
Last updated
05/18/2017
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