Individual
CHAKYLA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N 1ST ST, LAS VEGAS, NV 89101-1904
(702) 463-0110
(702) 463-0166
Mailing address
600 N 1ST ST, LAS VEGAS, NV 89101-1904
(702) 463-0110
(702) 463-0166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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