Individual
PEYTON WRAY JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125, RENO, NV 89521-3100
(775) 332-8332
Mailing address
2200 N D ANDREA PKWY APT 1426, SPARKS, NV 89434-2156
(702) 419-9202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
10/07/2024
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