NPI 1083175640

Jaylen Jordan, CTRS

Practitioner Recreation Therapist North Las Vegas, NV

Practice location

Address: 6900 N Pecos Rd, North Las Vegas, NV 89086-4400
Phone: (702) 791-9000
Mailing address: 10085 Malibu Creek CT Unit 101, Las Vegas, NV 89183-3955

Registered specialties (2)

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Nevada →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Nevada →

Registry record

NPI: 1083175640
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2019
Record last updated: 30 Nov 2020

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.