Individual
MR. JON-THOMAS CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9709 TULLYROE AVE UNIT 101, LAS VEGAS, NV 89129-4052
(702) 606-6142
Mailing address
9709 TULLYROE AVE UNIT 101, LAS VEGAS, NV 89129-4052
(702) 606-6142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-32460
NV
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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