Individual
JORDAN CHANDLER FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA LBA
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 490-3009
Mailing address
4933 NARRAGANSETT DR, VIRGINIA BEACH, VA 23462-5850
(757) 333-1985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003180
VA
106S00000X
Behavior Technician
RBT-21-161686
VA
Other
Enumeration date
04/05/2021
Last updated
08/22/2023
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