Individual
JORDAN LOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, RBT
Contact information
Practice address
1044 WICKFORD CT, CHESAPEAKE, VA 23320-6629
(757) 434-7088
Mailing address
1044 WICKFORD CT, CHESAPEAKE, VA 23320-6629
(757) 434-7088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-94989
VA
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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