Individual
JACOB SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7061 W ARBY AVE STE 170, LAS VEGAS, NV 89113-4464
(702) 485-5515
Mailing address
10925 SOUTHERN HIGHLANDS PKWY APT 2163, LAS VEGAS, NV 89141-4323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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