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Individual

JORDAN ROCHELLE EMMINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10530 LINDEN LAKE PLZ STE 200, MANASSAS, VA 20109-6434
(703) 496-7804
(571) 359-6784
Mailing address
10530 LINDEN LAKE PLZ STE 200, MANASSAS, VA 20109-6434
(703) 496-7804
(571) 359-6784

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
00004260
VA

Other

Enumeration date
01/17/2018
Last updated
07/01/2024
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