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
State
Texas
ZIP Code
75082-2409
Phone
(214) 784-2090

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