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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN WALLEK, BCABA

Active Sole Proprietor

JORDAN WALLEK, BCABA is a Assistant Behavior Analyst healthcare provider located in SHREVEPORT, Louisiana. NPI 1801549373 is currently active in the NPPES registry. Verify at CMS.

Assistant Behavior Analyst · SHREVEPORT, LA

Registration Details

NPI Number
1801549373
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2022 (4.4828355306784 yrs)
Last Updated
Jul 17, 2023
License
C-058 (LA)
Sole Proprietor
Yes

Practice Information

Address
10450 ELLEBRE ROAD
SHREVEPORT, LA, 71106
Browse LA providers · Browse ZIP 71106
Phone
3187978500
Fax
3186292735
Primary Specialty
Assistant Behavior Analyst
106E00000X

Other Assistant Behavior Analyst Providers in SHREVEPORT, LA

Name Credential NPI
IVERY DATCHER 1720538440
STACY ROBINSON 1508318965
MR. ROBERT EARL HUDSON JR. 1841739109
ELIZABETH LEE MURRAY BCABA 1104353606
KIMBERLY JAMISON RBT 1588237176
MISS JAMIE ERIN BUCHANAN 1679369797
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.