Jordan Amanda Clark, RBT

NPI #1265202170 in Springfield, Virginia

Provider Information

NPI Number: 1265202170
Entity Type: Individual
Name: Jordan Amanda Clark, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 6216 OLD KEENE MILL CT
City: Springfield
State: Virginia
ZIP Code: 22152-2323
Phone: (571) 297-4308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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