Individual
JORDAN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N CLYBOURN AVE, CHICAGO, IL 60610-3017
(312) 242-1665
Mailing address
823 W BUENA AVE APT 306, CHICAGO, IL 60613-1643
(941) 223-1094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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