Jordan R Lass
NPI #1942981410 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1942981410
- Entity Type
- Individual
- Name
- Jordan R Lass
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 27, 2023
- Last Updated
- Jul 27, 2023
Practice Location
- Address
- 3501 W KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8948
- Phone
- (918) 994-2764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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