Provider Demographics
NPI:1619306503
Name:ARANDIA, IVON
Entity Type:Individual
Prefix:MRS
First Name:IVON
Middle Name:
Last Name:ARANDIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 LONESOME DRUM ST
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-8214
Mailing Address - Country:US
Mailing Address - Phone:702-738-7073
Mailing Address - Fax:
Practice Address - Street 1:3444 LONESOME DRUM ST
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-8214
Practice Address - Country:US
Practice Address - Phone:702-738-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst