Individual
JONATHAN MOSS-CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 N GREEN VALLEY PKWY STE 9B, HENDERSON, NV 89074-5991
(725) 444-3803
Mailing address
225 S STEPHANIE ST APT 924, HENDERSON, NV 89012-4411
(951) 235-0283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-336020
NV
106S00000X
Behavior Technician
RBT4250
NV
Other
Enumeration date
05/02/2024
Last updated
06/10/2024
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