Jordan Taylor Balentine I

NPI #1609527084 in Rowlett, Texas

Provider Information

NPI Number
1609527084
Entity Type
Individual
Name
Jordan Taylor Balentine I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 17, 2022
Last Updated
Jan 17, 2022

Practice Location

Address
9500 LAKEVIEW PKWY
State
Texas
ZIP Code
75088-4557
Phone
(468) 458-9021

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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