Individual
JEWEL ANNETTE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 RENAISSANCE DR, SUITE A, LAS VEGAS, NV 89119-6191
(702) 739-7716
(702) 597-2242
Mailing address
7545 OSO BLANCA PKWY, APT 3066, LAS VEGAS, NV 89149-1450
(702) 990-0006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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