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Individual

JORDAN FIELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
908 SALISBURY GRN, VIRGINIA BEACH, VA 23452-6123
(757) 406-7397
(877) 831-7109
Mailing address
1040 VILLAS CT, VIRGINIA BEACH, VA 23456-6364
(757) 575-8275
(877) 831-7109

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-469069
VA

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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