Individual
JORDAN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6419 W LOOP 1604 N STE 108, SAN ANTONIO, TX 78254-5764
(726) 202-1121
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-54447
TX
103K00000X
Behavior Analyst
Primary
4547
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/21/2018
Last updated
07/23/2026
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