Individual
BRANYSHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 W OWENS AVE STE B, LAS VEGAS, NV 89106-2520
(702) 636-8729
Mailing address
2209 CARDIGAN AVE, NORTH LAS VEGAS, NV 89032-0811
(702) 743-3197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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