Jordan Douglas
Behavior Technician in Southfield, MI. Individual provider (NPI-1).
NPI number1134072002
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1134072002
- Entity type
- Individual (NPI-1)
- Name
- Jordan Douglas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2026
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
29566 Northwestern Hwy Ste 100Southfield, MI 48034-1036
Phone 833-328-8476
Mailing address
29566 Northwestern Hwy Ste 100Southfield, MI 48034-1036
Phone 833-328-8476
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