Individual
MS. JACQUELINE CHARMAINE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
Mailing address
8855 W ARBY AVE, #2046, LAS VEGAS, NV 89148-2201
(702) 462-1292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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