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Individual

MS. ALECIA ERIENNE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3106 GREENDALE ST, LAS VEGAS, NV 89121-2715
(702) 882-9227
Mailing address
3106 GREENDALE ST., LAS VEGAS, NV 89121
(702) 882-9227

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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