Individual
JORDAN SPADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CRAIG RD STE 102, MANALAPAN, NJ 07726-8731
(732) 761-0088
Mailing address
5 TALLEYRAND DR, COLTS NECK, NJ 07722-1690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00324800
NJ
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
01/29/2026
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