Individual
CHANAE LYNELL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20611 EUCLID AVE, EUCLID, OH 44117-1521
(216) 859-2727
Mailing address
38506 OAK HILL LN APT 101, WILLOUGHBY, OH 44094-7658
(216) 400-3781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
06/05/2025
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