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Individual

JEREMIAH WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3950 MOUNTAIN VISTIA ST, #Q164, LAS VEGAS, NV 89121
(954) 882-9302
Mailing address
3132 N JONES BLVD, LAS VEGAS, NV 89108-6580

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NV

Other

Enumeration date
10/23/2025
Last updated
11/07/2025
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