Individual
KARYN LEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
323 N BROAD ST, FAIRBORN, OH 45324-4934
(937) 318-8103
Mailing address
2524 DUNWOODY CT, KETTERING, OH 45420-1376
(937) 219-4514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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