Individual
ALEXANDRA E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9518 SW 148TH AVENUE CIR E, MIAMI, FL 33196-1667
(786) 325-8589
Mailing address
9518 SW 148TH AVENUE CIR E, MIAMI, FL 33196-1667
(786) 325-8589
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12831
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024344000
—
FL
Enumeration date
11/03/2017
Last updated
08/01/2024
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