Individual
KATHLEEN ANN ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5575 S DURANGO DR, LAS VEGAS, NV 89113-1833
(702) 209-3544
Mailing address
6555 AVERILL CREEK AVE, LAS VEGAS, NV 89118-6097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0287
NV
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
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Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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