Individual
JORDAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
Mailing address
11979 FISHERS CROSSING DR, FISHERS, IN 46038-2778
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15978
—
Other
Enumeration date
02/24/2025
Last updated
05/14/2026
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