Individual
GAIL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 W SAHARA AVE # 193, LAS VEGAS, NV 89117-5744
(678) 577-4401
Mailing address
9030 W SAHARA AVE # 193, LAS VEGAS, NV 89117-5744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
01/14/2014
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