Individual
SHANA JORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
402 N 36TH ST, WEST MEMPHIS, AR 72301-3709
(901) 730-9678
Mailing address
402 N 36TH ST, WEST MEMPHIS, AR 72301-3709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-379033
—
Other
Enumeration date
07/18/2026
Last updated
07/18/2026
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