Individual
JORDAN E BERTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 978-4305
Mailing address
1112 S 20TH ST UNIT B, PHILADELPHIA, PA 19146-2817
(717) 891-9980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67537
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/16/2021
Last updated
08/25/2023
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