Individual
JORDAN BRIANA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
21 CHESTERS WAY, BRIDGEWATER, VA 22812-1682
(540) 560-3828
Mailing address
21 CHESTERS WAY, BRIDGEWATER, VA 22812-1682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-530977
VA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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