Individual
JORDAN LYNN FUSELIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5307 AIRPORT BLVD STE C, AUSTIN, TX 78751-2258
(888) 754-0398
Mailing address
5307 AIRPORT BLVD STE C, AUSTIN, TX 78751-2258
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-37583
BOARD CERTIFIED BEHAVIOR ANALYST
—
Enumeration date
09/26/2019
Last updated
06/25/2021
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