Individual
JORDAN TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8402 SIX FORKS RD, RALEIGH, NC 27615-3070
(919) 429-8338
Mailing address
1603 KELVINGTON PL, APEX, NC 27502-4493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33882
NC
106S00000X
Behavior Technician
RBT-16-24203
NC
Other
Enumeration date
10/27/2016
Last updated
01/16/2020
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