Individual
MRS. SUSAN BETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
210 CAMPBELL RD, KESWICK, VA 22947-2109
(619) 602-0965
Mailing address
PO BOX 493, KESWICK, VA 22947-0493
(619) 602-0965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002601
VA
Other
Enumeration date
03/28/2007
Last updated
10/01/2023
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