Individual
DEJUAN COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 MOUNTAIN CREST ST, LAS VEGAS, NV 89129-7864
(219) 789-4080
Mailing address
3605 MOUNTAIN CREST ST, LAS VEGAS, NV 89129-7864
(219) 789-4080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
02/17/2015
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