Individual
JORDAN CARTER CHVATAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 TARA PLZ, PAPILLION, NE 68046-2043
(402) 512-4296
Mailing address
819 TARA PLAZA, PAPILLION, NE 68046
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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