Individual
JORDAN BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, BEHAVIORAL INNOVATIONS, NORMAN, OK 73069
(405) 384-8588
Mailing address
5132 N PALM AVE # 303, FRESNO, CA 93704-2236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-386223
OK
Other
Enumeration date
12/30/2022
Last updated
08/19/2025
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