Individual
JENNY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
181 W REYNOLDS ST, OZARK, AL 36360-1438
(334) 379-0729
Mailing address
609 4TH AVE, ANDALUSIA, AL 36420-3353
(318) 201-9151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234779
—
AL
Enumeration date
06/17/2022
Last updated
06/17/2022
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