Individual
JACQUELINE TREJO-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 S JONES BLVD STE 101, LAS VEGAS, NV 89146-3118
(702) 496-1367
(702) 496-1367
Mailing address
1001 MARION DR, LAS VEGAS, NV 89110-1429
(702) 325-4802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-30974
NV
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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