Most Relevant Information
Provider Data
| NPI Number: | 1003589136 |
| Provider Name: | MYSTI YVONNE LUDY |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2021 |
| Last Updated: | 07/26/2021 |
Provider Practice Location
850 MILL ST
RENO
NV
895021413
Practice Location Phone/Fax
| Phone: | 7755621115 |
| Fax: |
Provider Mailing Location
2921 N TENAYA WAY
LAS VEGAS
NV
891281409
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |