Most Relevant Information
Provider Data
| NPI Number: | 1003643362 |
| Provider Name: | JORDAN GALLARDO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
300 SAINT ANDREWS RD STE 409
SAGINAW
MI
486385977
Practice Location Phone/Fax
| Phone: | 9893413653 |
| Fax: |
Provider Mailing Location
2805 S INDUSTRIAL HWY STE 100
ANN ARBOR
MI
481046791
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |