Individual
JORDAN FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
(571) 297-4308
Mailing address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000658
VA
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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