Jordan E Custer
Jordan E Custer is a Behavior Technician in Angola, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
100 Growth Pkwy Ste F-GAngola, IN 46703-9343
Phone: (260) 459-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 17-46583 (IN) |
|---|
Record details
| NPI number | 1386100279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2019 |
| Last updated in NPPES | February 15, 2019 |
| Mailing address | 10820 Coldwater Rd, Fort Wayne, IN 46845-1241 |
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100 Growth Pkwy Ste F&g, Angola, IN 46703-9343 · (260) 459-6040