Individual
JORDAN JERORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
(913) 341-9316
Mailing address
125 ARTHUR AVE, BONNER SPRINGS, KS 66012-1415
(913) 579-5681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-95558
KS
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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