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NPI Code Detail

MEDICARE: JORDAN HAYES BCBA

MEDICARE: JORDAN HAYES BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-26-88489NV

General Provider Information

NPI Number : 1457045015
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN HAYES BCBA
Provider Business Mailing Address
First Line : 2840 E FLAMINGO RD STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2840 E FLAMINGO RD STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5201
Country : US
Telephone Number : 702-371-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 03/23/2026

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Directions to “ JORDAN HAYES BCBA” Practice Location

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