Individual
PORSHA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 VILLAGE CENTER CIR STE 140, LAS VEGAS, NV 89134-0577
(562) 388-0450
Mailing address
1707 VILLAGE CENTER CIR STE 140, LAS VEGAS, NV 89134-0577
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BCBA1250159
NV
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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