Individual
JORDAN AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2836 W JEFFERSON AVE, TRENTON, MI 48183-2902
(734) 301-5748
Mailing address
9170 BYROMAR LN, GROSSE ILE, MI 48138-1203
(734) 558-6086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
MI
103T00000X
Psychologist
Primary
6362010207
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/09/2024
Last updated
07/17/2026
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