Provider Demographics
NPI:1467833046
Name:GATHRITE, RASHAUD
Entity Type:Individual
Prefix:
First Name:RASHAUD
Middle Name:
Last Name:GATHRITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 CLINE MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-5204
Mailing Address - Country:US
Mailing Address - Phone:702-374-1983
Mailing Address - Fax:
Practice Address - Street 1:8200 CLINE MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-5204
Practice Address - Country:US
Practice Address - Phone:702-374-1983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst