Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaqwan Jordan

Individual provider Behavior Technician · NPI 1134906571

Jaqwan Jordan is a Behavior Technician in Augusta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

4106 Columbia Rd Ste 101
Augusta, GA 30907-1482
Phone: (706) 426-0583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2905 Arrowhead Dr Apt L7, Augusta, GA 30909-2067 — (706) 526-3762

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-294674 (GA)

Record details

NPI number1134906571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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