Individual
JACKIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 W SAHARA AVE STE B200, LAS VEGAS, NV 89146-2832
(702) 629-6982
(702) 893-7717
Mailing address
6655 W SAHARA AVE STE B200, LAS VEGAS, NV 89146-2832
(702) 629-6982
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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