Individual
MS. JACQUELYN PORTER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 PECOS ROAD, LAS VEGAS, NV 89120
(818) 384-8339
Mailing address
101 S FIRCROFT ST, WEST COVINA, CA 91791-2004
(818) 384-8339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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