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NPI 1629549951

NPI 1629549951 : MS. LATOYA JONES : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1629549951
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    Entity Type          |    Individual 
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    Provider Name        |    MS. LATOYA JONES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/16/2018
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    Last Update Date     |    12/16/2018
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Provider Practice Location Address
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    Address Line         |    3216 W CHARLESTON BLVD STE C 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89102-1983
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    Country              |    US
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    Telephone            |    702-333-1054
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    Fax                  |    702-608-7752
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Provider Business Mailing Address
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    Address Line         |    6800 E LAKE MEAD BLVD UNIT 2023 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89156-1130
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    Country              |    US
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    Telephone            |    251-508-4139
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    Fax                  |    702-608-7752
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    NV
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