Individual
MRS. JORDIN ALEX ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Mailing address
6481 MOSS BLUFF CT, LAS VEGAS, NV 89141-8536
(801) 750-1502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-162348
NV
Other
Enumeration date
04/20/2021
Last updated
04/21/2021
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