Individual
JORDYN GUALDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950A UNION RD STE 108, WEST SENECA, NY 14224-3432
(888) 805-0759
Mailing address
206 N JACKSON ST STE 202, GLENDALE, CA 91206-4330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-45199
NY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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