Individual
JORDAN MICHELLE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12443 LEWIS ST STE 201, GARDEN GROVE, CA 92840-4650
(714) 748-4440
Mailing address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
(559) 221-4336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
CA
Enumeration date
08/15/2022
Last updated
04/21/2026
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