Individual
MR. JON RICHARD WATASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8608 DESERT HOLLY DR, LAS VEGAS, NV 89134-8851
(702) 400-3819
Mailing address
6298 MESOSPHERE CT, LAS VEGAS, NV 89110-5043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
05/10/2023
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