Individual
HEYWARD JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADCI
Contact information
Practice address
3651 LINDELL RD, LAS VEGAS, NV 89103-1254
(702) 544-0355
Mailing address
3651 LINDELL RD # D748, LAS VEGAS, NV 89103-1254
(702) 544-0355
(866) 499-2117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
01/19/2012
Last updated
02/22/2023
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