Individual
JENNIFER MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 KAREN AVE STE C202, LAS VEGAS, NV 89109-1276
(833) 424-6398
Mailing address
3233 SABINO CANYON ST, LAS VEGAS, NV 89129-6106
(702) 302-9337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
08/13/2019
Last updated
02/08/2021
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