Stacey J Shadoff, MFT
Behavior Analyst in Las Vegas, NV. Individual provider (NPI-1).
NPI number1679880249
StatusActive
Last updated in NPPESSep 2, 2010
Details
- NPI
- 1679880249
- Entity type
- Individual (NPI-1)
- Name
- Stacey J Shadoff
- Credential
- MFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2010
- Last updated
- Sep 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 39346 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 39346 | NV |
Practice location
2350 S Jones Blvd # 227Las Vegas, NV 89146-3103
Phone 702-214-2140 · Fax 702-215-5821
Mailing address
2350 S Jones Blvd # 227Las Vegas, NV 89146-3103
Phone 702-214-2140 · Fax 702-215-5821
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