Individual
JORDYN BERNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 PINTAIL DR, SPRINGFIELD, IL 62711-6738
(217) 843-0290
Mailing address
2516 S 4TH ST, SPRINGFIELD, IL 62703-3843
(217) 433-7887
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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