Individual
JORDHAN RALPH DAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2217
Mailing address
323 PISTACHIO PL, JACKSONVILLE, FL 32216-9378
(903) 309-4504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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