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Jordan Leigh Butler

Behavior Technician in Johns Creek, GA. Individual provider (NPI-1).

NPI number1164099263
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1164099263
Entity type
Individual (NPI-1)
Name
Jordan Leigh Butler
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2021
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7360 McGinnis Ferry Rd Ste 100
Johns Creek, GA 30024-6603

Phone 866-523-4268

Mailing address

Po Box 399318
San Francisco, CA 94139-9318

Phone 866-523-4268

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