Individual
JORDAN ROSS MILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 RUE BEAUREGARD STE F, LAFAYETTE, LA 70508-8511
(337) 270-8585
Mailing address
PO BOX 150, BUNKIE, LA 71322-0150
(318) 346-9288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
05/24/2023
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