Jordan Elizabeth Moultrie

NPI #1104675719 in Gardenia, California

Provider Information

NPI Number: 1104675719
Entity Type: Individual
Name: Jordan Elizabeth Moultrie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 15, 2024
Last Updated: May 15, 2024

Practice Location

Address: 1508 W. ARTESIA SQUARE
Address 2: SUITE B
City: Gardenia
State: California
ZIP Code: 90248
Phone: (800) 249-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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