DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JALACIA CLARK RBT

MEDICARE: JALACIA CLARK RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-15-07300SC

General Provider Information

NPI Number : 1083129936
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALACIA CLARK RBT
Provider Business Mailing Address
First Line : 6130 W TROPICANA AVE STE 145
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4604
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Provider Business Practice Location Address
First Line : 2820 W CHARLESTON BLVD STE 22
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1933
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 06/11/2019

Similar Medicare Providers

1134464134 — KAYLI LENNOX
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791
1396294187 — JOCELINE RUIZ RBT
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791
1578091674 — JENNIFER WALKER MA, RBT
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791
1558876615 — CLAUDIA Y SALAZAR
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791
1154810356 — LIZET VALENCIA-ROBLEDO RBT
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791
1013406800 — RICARDO G RAMIREZ
Practice Location Address:
2820 W CHARLESTON BLVD STE 22
LAS VEGAS, NV
89102-1933
Practice Phone: 702-900-7698
Practice Fax: 702-825-0791

Directions to “ JALACIA CLARK RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.