Individual
JOURDAN BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6098 W HWY 74, INDIANA TRAIL, NC 28079
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62068
NC
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
12/04/2020
Last updated
11/04/2022
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