Individual
ANIYA NICHOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 W STONES CROSSING RD, GREENWOOD, IN 46143-7899
(317) 438-2990
(317) 960-4047
Mailing address
1777 W STONES CROSSING RD, GREENWOOD, IN 46143-7899
(317) 438-2990
(317) 960-4047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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