Individual
EMRIC JAVAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
8064 W SAHARA AVE STE 100, LAS VEGAS, NV 89117-1998
(702) 829-8929
Mailing address
5163 INDIAN RIVER DR UNIT 194, LAS VEGAS, NV 89103-6142
(678) 948-8822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3777
NV
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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