Organization
LICENSED BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A. JORDAN BCBA/LBA (PRESIDENT)
(757) 447-0883
Entity
Organization
Contact information
Practice address
2280 BROWNSHIRE TRAIL, VIRGINIA BEACH, VA 23456
(757) 447-0883
Mailing address
2280 BROWNSHIRE TRL, VIRGINIA BEACH, VA 23456-5286
(757) 777-5560
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/03/2022
Last updated
05/18/2022
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