Individual
JENNIFER ANN BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
8928 REGATTA BAY PL, LAS VEGAS, NV 89131-1782
(702) 204-6016
Mailing address
8928 REGATTA BAY PL, LAS VEGAS, NV 89131-1782
(702) 204-6016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M18-05272-E-154231
NV
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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