Individual
JORDAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SOUTH ST, HUDSON, MA 01749-2205
(508) 298-1637
Mailing address
15 SOUTH ST, HUDSON, MA 01749-2205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3136
MA
Other
Enumeration date
06/18/2014
Last updated
02/02/2022
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