Individual
JASHAVILIN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 N RANCHO DR STE 104, LAS VEGAS, NV 89130-3153
(702) 825-1010
Mailing address
3620 N RANCHO DR STE 104, LAS VEGAS, NV 89130-3153
(702) 825-1010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-293356
NV
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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