Individual
MR. ORVEL DONALD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6655 W SAHARA AVE, STE D 106, LAS VEGAS, NV 89146-0842
(702) 365-0600
Mailing address
6825 MAVERICK VALLEY PL, LAS VEGAS, NV 89131-6124
(561) 419-4844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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