Individual
JAMIE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 S RAINBOW BLVD # 172, LAS VEGAS, NV 89103-3106
(702) 706-8062
Mailing address
4132 S RAINBOW BLVD # 172, LAS VEGAS, NV 89103-3106
(702) 706-8062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
12/12/2024
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