Kelly E Jordan, CTRS

NPI #1295178572 in Pinckney, Michigan

Provider Information

NPI Number: 1295178572
Entity Type: Individual
Name: Kelly E Jordan, CTRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: CTRS
Enumeration Date: Apr 17, 2013
Last Updated: Nov 12, 2018

Practice Location

Address: 21800 CELESTIAL CIR
City: Pinckney
State: Michigan
ZIP Code: 48169-8765
Phone: (734) 546-1067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X
Behavior Technician	106S00000X	Primary

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