Jordan Fraser

NPI #1629741632 in Puyallup, Washington

Provider Information

NPI Number: 1629741632
Entity Type: Individual
Name: Jordan Fraser
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 16801 138TH AVE E
City: Puyallup
State: Washington
ZIP Code: 98374-6812
Phone: (253) 579-4218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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