Individual
JORDAN CHALKER BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
535 RIVERSTONE PKWY STE 101, CANTON, GA 30114-2566
(404) 840-8240
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62733
GA
Other
Enumeration date
11/22/2022
Last updated
07/10/2023
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