Individual
JIMMIE BOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6955 N DURANGO DR, LAS VEGAS, NV 89149-4411
(702) 349-2354
Mailing address
6955 N DURANGO DR, LAS VEGAS, NV 89149-4411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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