Individual
MISS JACQUELINE AMARIS SANTAMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 SUNRISE LAKE PL, HENDERSON, NV 89002-0955
(702) 279-7745
Mailing address
652 SUNRISE LAKE PL, HENDERSON, NV 89002-0955
(702) 279-7745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P55 01745
NV
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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