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Jordan Miles

Behavior Technician in Springfield, VA. Individual provider (NPI-1).

NPI number1265192520
StatusActive
Last updated in NPPESDec 28, 2021

Details

NPI
1265192520
Entity type
Individual (NPI-1)
Name
Jordan Miles
Sex
Male
Sole proprietor
No
Enumeration date
Dec 28, 2021
Certification date
Dec 28, 2021
Last updated
Dec 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7001 Loisdale Rd
Springfield, VA 22150-1904

Phone 240-297-3550

Mailing address

7001 Loisdale Rd
Springfield, VA 22150-1904

Phone 240-297-3550

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