Individual
ASHLEY DANIELLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 590-2107
Mailing address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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