Individual
JORDAN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
1500 E BRANCH RD, STATE COLLEGE, PA 16801-6921
(814) 380-9180
Mailing address
318 BOTTORF DR, STATE COLLEGE, PA 16801-7128
(814) 380-9810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006301
PA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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