Individual
DANIELLE DEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5950 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 293-8055
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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