Jordan Michael Gresham
Jordan Michael Gresham is a Behavior Technician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
2651 Dallas Hwy SWMarietta, GA 30064-2541
Phone: (678) 486-1904
Fax: (317) 520-8200
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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 RBT-20-112230 (GA) |
|---|
Record details
| NPI number | 1740806546 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 18, 2020 |
| Last updated in NPPES | June 18, 2020 |
| Certification date | June 18, 2020 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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