Jordan Lee Dale

NPI #1649152802 in Dade City, Florida

Provider Information

NPI Number: 1649152802
Entity Type: Individual
Name: Jordan Lee Dale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 21, 2025
Last Updated: Jul 21, 2025

Practice Location

Address: 13424 FORT KING RD
City: Dade City
State: Florida
ZIP Code: 33525-5214
Phone: (352) 437-3559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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