Jordan Petersen
Jordan Petersen is a Behavior Technician in Waipahu, Hawaii. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
94-849 Lumiaina St Unit 202Waipahu, HI 96797-5677
Phone: (808) 294-7050
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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 | 1992382097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2021 |
| Last updated in NPPES | March 25, 2021 |
| Certification date | March 25, 2021 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
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