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Individual

JAYBIAN FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6594 CLOVER WOOD LN, LAS VEGAS, NV 89156-5953
(702) 453-8841
Mailing address
6594 CLOVER WOOD LN, LAS VEGAS, NV 89156-5953
(702) 453-8841

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22540000X
NV
Enumeration date
11/14/2013
Last updated
11/14/2013
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