Jordan Larson
NPI #1043054026 in Southfield, Michigan
Provider Information
- NPI Number
- 1043054026
- Entity Type
- Individual
- Name
- Jordan Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 29566 NORTHWESTERN HWY STE 100
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-1036
- Phone
- (833) 328-8476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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