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Individual

JORDAN PARKER COSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
265 EDWARD J ROY DR UNIT 122, MANCHESTER, NH 03104-4163
(662) 907-9980
Mailing address
265 EDWARD J ROY DR UNIT 122, MANCHESTER, NH 03104-4163
(662) 907-9980

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-97455
NH

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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