Individual
JORDAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RBT
Contact information
Practice address
231 DEFENSE AVE, SANDSTON, VA 23150-1608
(804) 339-0054
Mailing address
231 DEFENSE AVE, SANDSTON, VA 23150-1608
(804) 339-0054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-170842
VA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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