Individual
JORDAN A CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(725) 238-4115
Mailing address
539 VIVA SERENADE WAY, HENDERSON, NV 89015-2967
(702) 956-3168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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