Individual
KAYLA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300.5 MADISON ST, APT 2SW, OAK PARK, IL 60302
(773) 921-4609
Mailing address
300.5 MADISON ST, APT 2SW, OAK PARK, IL 60302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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