Individual
JACOB LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 N MARYLAND PKWY, LAS VEGAS, NV 89101-3133
(702) 265-8436
Mailing address
5575 S DURANGO DR STE 102, LAS VEGAS, NV 89113-1834
(702) 209-3544
(725) 205-3800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0682
NV
Other
Enumeration date
11/05/2018
Last updated
01/11/2023
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