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Individual

JONTE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 CENTRE SARCELLE BLVD STE 201, YOUNGSVILLE, LA 70592-6755
(337) 857-3674
Mailing address
156 VERONA DR APT 302, LAFAYETTE, LA 70507-6405
(336) 512-3610

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/15/2022
Last updated
11/17/2022
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