Individual
JESSICA FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3157 N RAINBOW BLVD STE K7-247, LAS VEGAS, NV 89108-4578
(702) 900-7698
Mailing address
3157 N RAINBOW BLVD STE K7-247, LAS VEGAS, NV 89108-4578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-179837
NV
Other
Enumeration date
06/09/2021
Last updated
01/29/2026
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