Individual
SAMUEL DECON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
11311 BUSINESS CENTER DR, SUITE C, NORTH CHESTERFIELD, VA 23236-3199
(804) 378-6141
Mailing address
11311 BUSINESS CENTER DR, SUITE C, NORTH CHESTERFIELD, VA 23236-3199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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