Individual
MRS. JACQUELINE M BEUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10574 MOSS WOOD CT, RENO, NV 89521-4148
(775) 843-7574
(775) 448-6758
Mailing address
10574 MOSS WOOD CT, RENO, NV 89521-4148
(775) 843-7574
(775) 448-6758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0018
NV
103K00000X
Behavior Analyst
LBAT012511
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12205435
CAQH
NV
05
—
1962791
—
NV
05
—
9005056476
—
NV
Enumeration date
04/05/2011
Last updated
03/03/2016
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