Individual
MISS JORDYN KEHAULANI GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(702) 572-6272
Mailing address
2759 BRIDLETON AVE, NORTH LAS VEGAS, NV 89081-6581
(702) 572-6272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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