Individual
JACOB CODY JUESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 777-1292
(775) 777-1293
Mailing address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 777-1292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-400709
NV
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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