JAYLEN JORDAN CTRS NPI 1083175640

NPI Information

NPI: 1083175640
Provider Name: JAYLEN JORDAN, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
6900 N PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086
Phone: (702) 791-9000
Get Directions

Jaylen Jordan, CTRS is a recreation therapist in North Las Vegas, NV. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Jaylen Jordan, CTRS NPI is 1083175640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 N PECOS RD
NORTH LAS VEGAS, NV
ZIP 89086-400
Phone: (702) 791-9000

The enumeration date for this NPI number is 3/27/2019 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist				Yes
2	106S00000X	Behavior Technician				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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