Individual
JORDAN ANTONIO MAYNE EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 GEARY ST, SAN FRANCISCO, CA 94109-7228
(510) 268-8120
Mailing address
822 GEARY ST, SAN FRANCISCO, CA 94109-7228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
06/04/2025
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