Individual
JORDAN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3202
(301) 862-2505
(301) 862-2548
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3202
(301) 862-2505
(301) 862-2548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT22-216789
—
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
00245L
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-216789
RBT
—
Enumeration date
05/20/2022
Last updated
02/09/2026
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