Laportia Jordan

NPI #1356811426 in Elmhurst, Illinois

Provider Information

NPI Number: 1356811426
Entity Type: Individual
Name: Laportia Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 650 W GRAND AVE STE 207
City: Elmhurst
State: Illinois
ZIP Code: 60126-1025
Phone: (844) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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