Individual
JORDAN ALI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7576 NEWMANSTOWN DR # A, HANOVER, MD 21076-2296
(443) 591-8757
Mailing address
7576 NEWMANSTOWN DR # A, HANOVER, MD 21076-2296
(443) 591-8757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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