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Individual

MS. BARBARA JEAN STATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
730 N EASTERN AVE, #110, LAS VEGAS, NV 89101-2883
(702) 772-4864
Mailing address
3050 N JONES BLVD, APT #2049, LAS VEGAS, NV 89108-6551
(702) 436-3763

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LADC 907-L
NV

Other

Enumeration date
05/03/2013
Last updated
05/03/2013
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