Jordan Kohnke, B.A
NPI #1053858399 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1053858399
- Entity Type
- Individual
- Name
- Jordan Kohnke, B.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- B.A
- Enumeration Date
- Jan 25, 2017
- Last Updated
- Dec 10, 2020
Practice Location
- Address
- 6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9655
- Phone
- (989) 401-1239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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