Organization
ANGELS FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JACKSON (BASIC SKILLS TRAINER)
(702) 583-1636
Entity
Organization
Contact information
Practice address
3831 PREFONTAINE RD, LAS VEGAS, NV 89115-1573
(702) 583-1636
Mailing address
3831 PREFONTAINE RD, LAS VEGAS, NV 89115-1573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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