Individual
JILLIAN JENEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Mailing address
5440 W SAHARA AVE STE 300, LAS VEGAS, NV 89146-0361
(702) 983-1887
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
08/01/2023
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