NPI 1003323064

Jordan Louk

Practitioner Behavior Technician Mansfield, OH

Practice location

Address: 1033 Larchwood Rd, Mansfield, OH 44907-2424
Phone: (419) 747-4122
Mailing address: 58 E Smiley Ave, Shelby, OH 44875-2115

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003323064
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2017
Record last updated: 29 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.