Individual
JOSEPH CODY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
Mailing address
15 BUENA VISTA PL, CHARLESTON, WV 25302-2501
(304) 412-0255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-70782
WV
Other
Enumeration date
12/16/2018
Last updated
05/20/2020
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