Individual
MRS. JACQUELINE GLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E SUNSET RD, SUITE 24, LAS VEGAS, NV 89120-3506
(702) 635-0885
Mailing address
5606 CEDAR AVE, LAS VEGAS, NV 89110-3805
(702) 249-2135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-15-02742
NV
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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