Individual
ALEXANDER JORDAN EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 N TYNDALL PKWY, PANAMA CITY, FL 32404-9407
(850) 866-0441
Mailing address
110 N MARIE DR, PANAMA CITY, FL 32401-4053
(850) 851-7716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21151406
FL
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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