Individual
JESSICA LYNN CHAUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD STE 150, LAS VEGAS, NV 89119
(702) 270-3219
Mailing address
2110 E FLAMINGO RD STE 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1853872
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1605054242
—
NV
Enumeration date
02/08/2018
Last updated
06/18/2018
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