Jordan Imara Tidwell
NPI #1376404814 in Richardson, Texas
Provider Information
- NPI Number
- 1376404814
- Entity Type
- Individual
- Name
- Jordan Imara Tidwell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 24, 2025
- Last Updated
- Nov 24, 2025
Practice Location
- Address
- 3405 WILLOWBROOK DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-2409
- Phone
- (214) 784-2090
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