Individual
JESSICA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 HASSELL AVE, LAS VEGAS, NV 89106-2326
(702) 824-1025
Mailing address
1156 HASSELL AVE, LAS VEGAS, NV 89106-2326
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
09/21/2017
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