Individual
JERI NICOLE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Mailing address
951 LAS PALMAS ENTRADA AVE APT 1728, HENDERSON, NV 89012-5625
(910) 354-5792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-67371
NY
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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