Organization
MOUNTAIN BLUE BIRD COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN HALL (OWNER)
(775) 443-6955
Entity
Organization
Contact information
Practice address
2640 ANQUA CT, SPARKS, NV 89434-2125
(775) 443-6955
Mailing address
2640 ANQUA CT, SPARKS, NV 89434-2125
(775) 443-6955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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