Individual
JORDAN ELAINE DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 OLD WINSTON RD STE 101, KERNERSVILLE, NC 27284-7125
(980) 785-1113
(980) 785-1114
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 758-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61297
NC
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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