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Individual

JAYDEN TREVON ENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2831 SAINT ROSE PKWY, HENDERSON, NV 89052-4840
(702) 589-4712
(888) 845-8897
Mailing address
2831 SAINT ROSE PKWY, HENDERSON, NV 89052-4840
(702) 589-4712
(888) 845-8897

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/19/2022
Last updated
03/31/2022
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