Individual
AMY ROSE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12727 MCMANUS BLVD., SUITE G, NEWPORT NEWS, VA 23602
(757) 877-2300
(757) 264-6258
Mailing address
378 STANTON RD, NEWPORT NEWS, VA 23606-2927
(757) 842-1560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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