Individual
MR. JACK TARANGO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS
Contact information
Practice address
570 W CHEYENNE AVE STE 210, NORTH LAS VEGAS, NV 89030-3983
(702) 754-3900
Mailing address
6413 WHITE TIGER CT, LAS VEGAS, NV 89130-1875
(310) 780-2936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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