Individual
JORDAN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
44670 ANN ARBOR RD W, PLYMOUTH, MI 48170-3962
(313) 278-4601
Mailing address
4530 E RAY RD STE 100, PHOENIX, AZ 85044-6095
(586) 850-6665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002274
MI
Other
Enumeration date
10/19/2020
Last updated
09/23/2024
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