Individual
JORDAN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 JAMES COMEAUX RD STE B, LAFAYETTE, LA 70508-3376
(855) 832-6727
(772) 675-9100
Mailing address
139 JAMES COMEAUX RD STE B, LAFAYETTE, LA 70508-3376
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
L-484
LA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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