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Individual

MR. JAKOB AVERY CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3950 LAS VEGAS BLVD N # A2, LAS VEGAS, NV 89115-0598
(702) 547-6971
Mailing address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-20-112794
NV

Other

Enumeration date
02/15/2020
Last updated
02/09/2023
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