Individual
JORDAN MATTHEW TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3704 N 35TH ST, TACOMA, WA 98407-6033
(206) 580-6940
Mailing address
4733 ROOSEVELT WAY NE, SEATTLE, WA 98105-4723
(503) 523-9465
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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