Shane Jordan

NPI #1972062495 in Vienna, Virginia

Provider Information

NPI Number: 1972062495
Entity Type: Individual
Name: Shane Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 14, 2019
Last Updated: Oct 12, 2024

Practice Location

Address: 8230 LEESBURG PIKE STE 740
City: Vienna
State: Virginia
ZIP Code: 22182-2641
Phone: (877) 504-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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