Individual
JAYLENE NISIHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6390 W CHEYENNE AVE, LAS VEGAS, NV 89108-6008
(702) 763-5311
Mailing address
4350 CRIMSON TIDE AVE, NORTH LAS VEGAS, NV 89031-0447
(626) 295-1457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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