Individual
ANNE MARIE LYNNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
11551 FOREST CENTRAL DR, DALLAS, TX 75243-3920
(469) 573-4492
(866) 430-1157
Mailing address
11551 FOREST CENTRAL DR, DALLAS, TX 75243-3920
(469) 573-4492
(866) 430-1157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3479
TX
Other
Enumeration date
08/19/2020
Last updated
05/31/2023
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