Individual
JORDAN LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 S BELL AVE STE 108, AMES, IA 50010-7730
(515) 337-0343
Mailing address
4717 MORTENSEN RD UNIT 103, AMES, IA 50014-6219
(515) 423-3323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
114642
IA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-61281
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
114642
STATE BOARD OF BEHAVIORAL SCIENCE
IA
Enumeration date
09/23/2020
Last updated
09/17/2022
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