Individual
JORDAN NICOLE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(312) 242-1665
Mailing address
34755 COUNTY ROAD 10, KEENESBURG, CO 80643-8526
(970) 381-2869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78117
CO
106E00000X
Assistant Behavior Analyst
A.B.61477567
WA
106S00000X
Behavior Technician
CBT.CB.61472697
WA
Other
Enumeration date
09/11/2023
Last updated
02/24/2025
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