Jordan Lynn King

NPI #1912787730 in Ava, Missouri

Provider Information

NPI Number: 1912787730
Entity Type: Individual
Name: Jordan Lynn King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2023
Last Updated: Sep 29, 2023

Practice Location

Address: 804 SOUTH JEFFERSON STREET
City: Ava
State: Missouri
ZIP Code: 65608
Phone: (417) 256-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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