Individual
JORDAN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 POLK ST, GREENWOOD, IN 46143-1623
(317) 888-1557
Mailing address
380 POLK ST, GREENWOOD, IN 46143-1623
(317) 888-1557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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