JAQWAN JORDAN

AUGUSTA, GA
NPI1134906571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-23-294674)
Enumeration Date2023-09-11
Last Update Date2023-09-14
Business Address
JAQWAN JORDAN
4106 COLUMBIA RD STE 101
AUGUSTA, GA 30907-1482
Phone number: 706-426-0583
Mailing Address
JAQWAN JORDAN
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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