Jordan Josia Bothwell
Jordan Josia Bothwell is a Behavior Technician in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
490 Chadbourne Rd Ste A131Fairfield, CA 94534-1862
Phone: (844) 636-3987
Fax: (707) 402-6059
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1154178572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2024 |
| Last updated in NPPES | May 2, 2024 |
| Certification date | May 2, 2024 |
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