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1801549373
JORDAN WALLEK
SHREVEPORT, LA
NPI
1801549373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: LA c-058)
Enumeration Date
2022-02-03
Last Update Date
2023-07-17
Business Address
JORDAN WALLEK BCaBA
10450 ELLEBRE ROAD
SHREVEPORT, LA 71106
Phone number: 318-797-8500
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Mailing Address
JORDAN WALLEK BCaBA
3253 SCHULER DRIVE
BOSSIER CITY, LA 71112-5129
Phone number: 708-821-6255
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