Jordan Rae Keairnes

NPI #1902633159 in Monument, Colorado

Provider Information

NPI Number: 1902633159
Entity Type: Individual
Name: Jordan Rae Keairnes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 19, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 17230 JACKSON CREEK PKWY
City: Monument
State: Colorado
ZIP Code: 80132-7301
Phone: (719) 488-3348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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