Jordan Jay Slate

NPI #1447849831 in Bothell, Washington

Provider Information

NPI Number: 1447849831
Entity Type: Individual
Name: Jordan Jay Slate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 11, 2021
Last Updated: Oct 5, 2022

Practice Location

Address: 18422 103RD AVE NE
City: Bothell
State: Washington
ZIP Code: 98011-3410
Phone: (425) 949-0801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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