Jaylen Jordan, CTRS
Recreation Therapist in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1083175640
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1083175640
- Entity type
- Individual (NPI-1)
- Name
- Jaylen Jordan
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
10085 Malibu Creek Ct Unit 101Las Vegas, NV 89183-3955
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Other Recreation Therapist providers in North Las Vegas, NV
- Emma Dickinson, CTRSNPI 1821796491
- Cordie GuynesNPI 1104199827
- Everett A LoweryNPI 1245538131
- Debra J Pate, M.S., C.T.R.S.NPI 1104919687
- Va Of Southern NvNPI 1437838034
- Amanda Ruth Warren, CTRSNPI 1528840931
- Jermaine Love WilliamsNPI 1386119337
All 8 Recreation Therapist providers in North Las Vegas · All 6,935 providers in North Las Vegas
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