Jaylen Jordan, CTRS

NPI #1083175640 in North Las Vegas, Nevada

Provider Information

NPI Number: 1083175640
Entity Type: Individual
Name: Jaylen Jordan, CTRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Credential: CTRS
Enumeration Date: Mar 27, 2019
Last Updated: Nov 30, 2020

Practice Location

Address: 6900 N PECOS RD
City: North Las Vegas
State: Nevada
ZIP Code: 89086-4400
Phone: (702) 791-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Recreation Therapist	225800000X	Primary

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