Individual
MR. JASON CHARLES CALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 N. MARTIN LUTHER KING BLVD, N LAS VEGAS, NV 89081
(702) 552-7800
Mailing address
3232 BRAYTON MIST DR, NORTH LAS VEGAS, NV 89081-6518
(702) 235-8376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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