Individual
JATNNA MERIBETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 WASHINGTON ST, ATTLEBORO, MA 02703-7076
(978) 382-1627
Mailing address
35 HARRINGTON AVE UNIT 4108, SHREWSBURY, MA 01545-5285
(978) 382-1627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2020
Last updated
05/05/2022
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