Individual
JORDAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
Mailing address
5151 ADANSON ST, ORLANDO, FL 32804-1317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB754901
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
04/02/2024
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