Individual
DEMARCUS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 CASEY DR, LAS VEGAS, NV 89119-2251
(702) 956-5382
Mailing address
2317 CASEY DR, LAS VEGAS, NV 89119-2251
(702) 956-5382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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