Individual
MS. JIMMIE BETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A. BCABA
Contact information
Practice address
538 3RD AVE, SOUTH CHARLESTON, WV 25303-1328
(304) 541-1145
Mailing address
538 3RD AVE, SOUTH CHARLESTON, WV 25303-1328
(304) 541-1145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0125039
WV
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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