Redd, Shea S

Redd, Shea S is an individual health care provider with primary practice located at 8720 Crescent Ridge Ln , Las Vegas NV 89134-0302. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Redd, Shea S can be contacted via phone (702) 600-9082.

Contact Information

Primary practice address
8720 Crescent Ridge Ln Las Vegas NV 89134-0302
Phone: (702) 600-9082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-12937 Nevada

Profile Details

NPI number 1144417734
LBN Legal business name Redd, Shea S
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Jan 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144417734 NPPES
Utah Other REDDS SWBHC STAFF CODE

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