Individual
ANNA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5446 N ACADEMY BLVD STE 205, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Mailing address
5446 N ACADEMY BLVD STE 205, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-71616
REGISTERED BEHAVIOR TECHNICIAN
CO
Enumeration date
11/29/2018
Last updated
10/29/2020
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