Individual
MR. GEORGE RICHARD ADDISON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ED.
Contact information
Practice address
10272 DANSKIN DR APT 1, LAS VEGAS, NV 89166-2506
(516) 262-9226
Mailing address
10272 DANSKIN DR APT 1, LAS VEGAS, NV 89166-2506
(516) 262-9226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/08/2012
Last updated
03/23/2020
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