Jordan Simone Black
Jordan Simone Black is a Behavior Technician in Citrus Heights, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6939 Sunrise BlvdCitrus Heights, CA 95610-3153
Phone: (916) 547-5908
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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 | 1376129908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | March 23, 2021 |
| Certification date | March 23, 2021 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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