Individual
JORDAN LILLIAN MARIE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(502) 650-3682
Mailing address
220 STANDARD LN APT 303, VIRGINIA BEACH, VA 23462-3769
(502) 650-3682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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