Individual
JAZZIE WYCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4285 N RANCHO DR STE 110, LAS VEGAS, NV 89130-3447
(702) 820-8891
(719) 213-2920
Mailing address
4285 N RANCHO DR STE 110, LAS VEGAS, NV 89130-3447
(702) 820-8891
(719) 213-2920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT6417
NV
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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