Individual
JORDAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
101 LONGWATER CIR STE 101, NORWELL, MA 02061-1641
(845) 267-0920
Mailing address
9 THOMPSON AVE, WESTWOOD, MA 02090-2928
(508) 688-4695
(617) 925-9217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23502
—
Other
Enumeration date
10/20/2016
Last updated
01/28/2019
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