Individual
MR. JACOB GALLEGOS HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 S EASTERN AVE STE 400, LAS VEGAS, NV 89119-0824
(702) 848-1696
Mailing address
1105 SILVER LAKE DR, LAS VEGAS, NV 89108-1053
(702) 764-0166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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