Individual
JORDAN TYLER BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
1938 LYDA AVE, BOWLING GREEN, KY 42104-3326
(855) 444-5664
Mailing address
1220 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
291455
—
Other
Enumeration date
08/30/2023
Last updated
01/08/2025
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