Individual
JORDAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
130 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 777-7239
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-50312
IN
103K00000X
Behavior Analyst
1-21-50312
NC
103K00000X
Behavior Analyst
Primary
3405
NC
Other
Enumeration date
03/26/2021
Last updated
05/01/2026
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