Individual
MS. CHYNA SHALIN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 MOUNT ZION RD STE M, MORROW, GA 30260-2266
(943) 200-0016
Mailing address
428 EGLINGTON TRL, LOCUST GROVE, GA 30248-7012
(706) 945-2433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-367491
GA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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