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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144417734 | NPPES |
| Utah | Other | REDDS | SWBHC STAFF CODE |
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