Search › Louisiana › 106E00000X
Jordan Wallek, BCABA
NPI 1801549373 · on the registry since 2022 · sole proprietor
Practice
- Address
- 10450 Ellebre Road
Shreveport, LA 71106 - Phone
- (318) 797-8500
- Fax
- (318) 629-2735
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-17
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 Louisiana