Individual
JENNA MANDILK-LONGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3950 LAS VEGAS BLVD N # A2, LAS VEGAS, NV 89115-0598
(702) 547-6971
(702) 547-6948
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
(702) 547-6971
(702) 547-6948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-
NV
106S00000X
Behavior Technician
Primary
RBT-23-263725
—
Other
Enumeration date
03/15/2023
Last updated
03/23/2026
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