Individual
JENNIFER LYNN MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 S PECOS RD STE 102, LAS VEGAS, NV 89120-3773
(702) 900-4320
Mailing address
8930 MANALANG RD, LAS VEGAS, NV 89123-0623
(408) 690-4749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-340883
NV
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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