Individual
JACKLYN DREW MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA,LBA
Contact information
Practice address
9205 W RUSSELL RD STE 240, LAS VEGAS, NV 89148-1425
(671) 487-5493
Mailing address
6232 GUNDERSON BLVD, LAS VEGAS, NV 89103-3263
(702) 901-3508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40615
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
DO NOT HAVE ONE
—
Enumeration date
10/09/2018
Last updated
08/13/2025
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