Jordan Raeann Hale

NPI #1114513439 in Ardmore, Oklahoma

Provider Information

NPI Number: 1114513439
Entity Type: Individual
Name: Jordan Raeann Hale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 1301 KIOWA ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2280
Phone: (580) 670-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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