Individual
MAELANI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4755
(702) 209-0370
Mailing address
3959 GOLD GLIMMER ST, LAS VEGAS, NV 89129-8340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144700402
—
NV
Enumeration date
08/16/2018
Last updated
02/28/2023
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