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Jordan Woodruff
NPI 1447713557 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11715 S State St Apt E204
Draper, UT 84020 - Phone
- (208) 965-4563
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah