Individual
JAZMYN LAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1711
Mailing address
3650 N RANCHO DR STE 109, LAS VEGAS, NV 89130-3151
(702) 848-1411
(702) 848-1711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/15/2021
Last updated
05/23/2025
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