Jerrell Shanae White
Jerrell Shanae White is a Behavior Technician in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4535 W Russell Rd Ste 15Las Vegas, NV 89118-2258
Phone: (702) 368-2380
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1629659198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | April 16, 2021 |
| Mailing address | 312 Burgos Ave, North Las Vegas, NV 89030-4718 |
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