Individual
JOSHUA RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 S DECATUR BLVD, LAS VEGAS, NV 89107-3933
(702) 750-9387
(702) 790-2570
Mailing address
807 S DECATUR BLVD, LAS VEGAS, NV 89107-3933
(702) 750-9387
(702) 790-2570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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