Jordan Leah Alt

NPI #1043724826 in Las Cruces, New Mexico

Provider Information

NPI Number: 1043724826
Entity Type: Individual
Name: Jordan Leah Alt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 4977 HOMESTEAD CT
City: Las Cruces
State: New Mexico
ZIP Code: 88011-8327
Phone: (785) 727-9270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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