Individual
JELANI PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 789-5901
Mailing address
4350 PARADISE RD # 602, LAS VEGAS, NV 89169-6515
(840) 204-2561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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