Individual
JORDAN KUJAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
(574) 387-4313
(574) 204-2868
Mailing address
3730 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3424
(574) 387-4313
(574) 204-2868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15596
IN
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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