Individual
JESSICA MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD STE 3400, HENDERSON, NV 89074-7184
(702) 867-5810
(702) 867-5811
Mailing address
1523 PLAIN SIGHT AVE, HENDERSON, NV 89014-0818
(702) 629-0452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3176
NV
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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