Individual
JORDAN SHONKWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 981-3176
Mailing address
739 FRANKLIN AVE, WHEELERSBURG, OH 45694-8908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154486
WV
Other
Enumeration date
03/11/2021
Last updated
02/15/2022
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