Individual
HANNAH LEIGH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W MAIN ST STE A, RICHMOND, VA 23220-4811
(804) 355-0201
Mailing address
1137 W GRACE ST APT 501, RICHMOND, VA 23220-3659
(334) 444-7428
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163606
VA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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