Individual
JASMINE GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
Mailing address
3716 BACH WAY, NORTH LAS VEGAS, NV 89032-0628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
11/18/2024
Last updated
11/18/2024
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