Individual
AJA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COMMERCIAL CT STE F, VENICE, FL 34292-1650
(941) 485-0121
Mailing address
411 COMMERCIAL CT, VENICE, FL 34292-1650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
09/29/2017
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