Individual
JORDAN MICHAEL REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2220 W CLEARFIELD ST, PHILADELPHIA, PA 19132-1400
(267) 701-3244
Mailing address
2220 W CLEARFIELD ST, PHILADELPHIA, PA 19132-1400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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