Individual
LETICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
953 E SAHARA AVE STE B13, LAS VEGAS, NV 89104-3012
(702) 619-9683
Mailing address
953 E SAHARA AVE STE B13, LAS VEGAS, NV 89104-3012
(702) 619-9683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
07/21/2011
Last updated
10/20/2022
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