NPI 1801549373

Jordan Wallek, BCABA

Practitioner Assistant Behavior Analyst Shreveport, LA

Practice location

Address: 10450 Ellebre Road, Shreveport, LA 71106
Phone: (318) 797-8500
Fax: (318) 629-2735
Mailing address: 3253 Schuler Drive, Bossier City, LA 71112-5129

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence C-058 (LA)

Other Assistant Behavior Analyst providers in Louisiana →

Registry record

NPI: 1801549373
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2022
Record last updated: 17 Jul 2023

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.