Individual
AMANDA JEWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
Mailing address
322 KAREN AVE UNIT 602, LAS VEGAS, NV 89109-0418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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