Individual
JORDAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BELLBROOK AVE, XENIA, OH 45385-3638
(937) 426-2334
Mailing address
130 LAKESHORE DR, SPRING VALLEY, OH 45370-9763
(937) 545-7560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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