India Jordan

NPI #1013718592 in Eastpointe, Michigan

Provider Information

NPI Number: 1013718592
Entity Type: Individual
Name: India Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 21, 2025
Last Updated: Mar 21, 2025

Practice Location

Address: 17650 E 9 MILE RD
City: Eastpointe
State: Michigan
ZIP Code: 48021-2564
Phone: (586) 218-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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