Individual
HEATHER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 JAYMOR RD STE C-150, SOUTHAMPTON, PA 18966-3832
(215) 330-4116
(215) 330-4118
Mailing address
928 JAYMOR RD STE C-150, SOUTHAMPTON, PA 18966-3832
(215) 330-4116
(215) 330-4118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH007714
PA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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