Shane Jordan
Shane Jordan is a Behavior Analyst in Vienna, Virginia. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
8230 Leesburg Pike Ste 740Vienna, VA 22182-2641
Phone: (877) 504-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-23-66606 |
|---|
Record details
| NPI number | 1972062495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 14, 2019 |
| Last updated in NPPES | October 12, 2024 |
| Certification date | October 12, 2024 |
| Mailing address | 1325 S State St, Dover, DE 19901-4945 |
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