Individual
JORDAN RAY RANON BARUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 974-1774
(702) 974-1773
Mailing address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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