Jordan Kevin Woodruff

NPI #1447713557 in Draper, Utah

Provider Information

NPI Number: 1447713557
Entity Type: Individual
Name: Jordan Kevin Woodruff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 8, 2019
Last Updated: Apr 8, 2019

Practice Location

Address: 11715 S STATE ST APT E204
City: Draper
State: Utah
ZIP Code: 84020-6910
Phone: (208) 965-4563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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