Individual
JALAH FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 KINGS CENTER AVE, N LAS VEGAS, NV 89032-1159
(510) 330-8113
Mailing address
615 KINGS CENTER AVE, N LAS VEGAS, NV 89032-1159
(510) 330-8113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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