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1265183958
JORDYN VAN
MADISON, WI
NPI
1265183958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WI 486-140)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
JORDYN VAN
4005 FELLAND RD STE 102
MADISON, WI 53718-6461
Phone number: 920-857-9041
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Mailing Address
JORDYN VAN
1575 ALLOUEZ AVE
GREEN BAY, WI 54311-5639
Phone number:
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