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Individual

JASPER JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1004 E ROME BLVD, NORTH LAS VEGAS, NV 89086-1351
(702) 589-0475
Mailing address
1004 E ROME BLVD, NORTH LAS VEGAS, NV 89086-1351

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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Product
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  • EDI platform