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Contact Information

DESTINY S JACKSON HALEY
1024 W OWENS AVE
LAS VEGAS, NV89106-2520
 Phone: 702-877-9850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for DESTINY S JACKSON HALEY · (Female)

NPI Number 1396225736
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2018
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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