Individual
JORDYN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516A TASSITA LN, MANASSAS PARK, VA 20111-2700
(308) 258-2311
Mailing address
516A TASSITA LN, MANASSAS PARK, VA 20111-2700
(308) 258-2311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004733
VA
Other
Enumeration date
10/11/2020
Last updated
03/16/2026
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