Individual
TANNER JACOB LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7365 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0807
(702) 766-9840
Mailing address
7100 W ALEXANDER RD APT 1078, LAS VEGAS, NV 89129-1701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
01/14/2025
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