Individual
JOHN LONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3896 SWENSON ST, APT 1204B, LAS VEGAS, NV 89119-7408
(267) 251-3899
Mailing address
3896 SWENSON ST, APT 1204B, LAS VEGAS, NV 89119-7408
(267) 251-3899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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