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Individual

JORDAN RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5960 N MILWAUKEE AVE, CHICAGO, IL 60646-5424
(224) 243-4819
Mailing address
4123 W BELLE PLAINE AVE APT 19, CHICAGO, IL 60641-2469
(801) 691-8653

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152.003363
IL
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/01/2021
Last updated
06/12/2026
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