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Individual

HALLIE ELIZABETH JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
115 W NASHVILLE DR, NASHVILLE, NC 27856-1284
(919) 631-9264
Mailing address
187 ASHLEY WOODS CT, CLAYTON, NC 27527-9333
(919) 631-9264

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
11/15/2018
Last updated
05/08/2024
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