Jordan Michael Petzoldt
Jordan Michael Petzoldt is a Behavior Technician in Cape Girardeau, Missouri. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1417 N Mount Auburn Rd Ste CCape Girardeau, MO 63701-2171
Phone: (573) 271-5240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1942895776 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 3, 2021 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
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