Individual
JAZMINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S RANCHO DR STE A10, LAS VEGAS, NV 89106-4898
(702) 437-4673
(702) 438-4673
Mailing address
601 S RANCHO DR STE A10, LAS VEGAS, NV 89106-4898
(702) 437-4673
(702) 438-4673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10694-C
NV
104100000X
Social Worker
IC-1474
NV
106S00000X
Behavior Technician
RBT-15-03056
NV
Other
Enumeration date
09/09/2015
Last updated
07/02/2026
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