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Individual

MR. JONATHAN CHRISTOPHER LOVE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N/A

Contact information

Practice address
4201 E CRAIG RD APT 2098, NORTH LAS VEGAS, NV 89030-7576
(702) 471-8214
Mailing address
4201 E CRAIG RD APT 2098, NORTH LAS VEGAS, NV 89030-7576
(702) 471-8214

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2103691697
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225400000X
NV
Enumeration date
07/31/2012
Last updated
08/01/2012
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