Individual
JORDEN JENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
96 GRASSO PLZ, AFFTON, MO 63123-3108
(636) 398-2515
(800) 687-5070
Mailing address
2900 BARTOLD AVE APT 321, SAINT LOUIS, MO 63143-3612
(314) 398-1590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023019895
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/17/2022
Last updated
06/01/2023
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