Individual
JORDAN LEE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7061 W ARBY AVE STE 170, LAS VEGAS, NV 89113-4464
(702) 994-0112
Mailing address
7061 W ARBY AVE STE 170, LAS VEGAS, NV 89113-4464
(702) 485-5515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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