Individual
JORDAN HAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24204 SE 263RD PL, MAPLE VALLEY, WA 98038-7109
(425) 399-3245
Mailing address
26019 SE 426TH ST, ENUMCLAW, WA 98022-8351
(253) 249-1751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
01/07/2020
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