Individual
CLILEXUS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W WASHINGTON AVE BLDG B, LAS VEGAS, NV 89106-3731
(702) 605-5858
Mailing address
2512 SPEAR ST UNIT B, NORTH LAS VEGAS, NV 89030-5763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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