Individual
JORDAN MARIE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247
(210) 599-7733
Mailing address
10503 METRIC DRIVE, DALLAS, TX 75243
(972) 644-2076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3016
TX
Other
Enumeration date
04/27/2018
Last updated
01/10/2023
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