NPI 1053661868 · live from the CMS NPI Registry
Jacquelyn Abah
Behavior Analyst in Las Vegas, NV. National Provider Identifier 1053661868, active.
NPI record
| NPI | 1053661868 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6172 Bridgeport Hills Ave, Las Vegas, NV 89139 |
| Practice phone | 702-601-3767 |
| Enumerated | September 19, 2012 |
| Last updated | September 19, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.