Individual
SAMANTHA JOY JASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 W FLAMINGO RD, LAS VEGAS, NV 89103-2334
(702) 877-2520
Mailing address
11908 ALAVA AVE, LAS VEGAS, NV 89138-4567
(702) 688-3230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0097
NV
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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