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Contact Information

JAYLEN JORDAN, CTRS
6900 N PECOS RD
NORTH LAS VEGAS, NV89086-4400
 Phone: 702-791-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for JAYLEN JORDAN · (Male)

NPI Number 1083175640
Status Active
Credentials CTRS
Entity Individual
Enumeration date 03/27/2019
Last updated 11/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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