Individual
ROBERT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2039 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7135
(702) 724-9300
(702) 724-9308
Mailing address
2039 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7135
(702) 724-9300
(702) 724-9308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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