Individual
HEIDI S JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
895 ROBERTA LN, SUITE 101, SPARKS, NV 89431-6802
(775) 331-6252
(775) 331-6250
Mailing address
895 ROBERTA LN, SUITE 101, SPARKS, NV 89431-6802
(775) 331-6252
(775) 331-6250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0000086388
NV
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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