Individual
JORDAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-8126
(678) 648-7644
(678) 648-7479
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
(678) 882-7040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82597
GA
106S00000X
Behavior Technician
RBT-21-182447
GA
Other
Enumeration date
08/30/2021
Last updated
07/15/2025
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