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1447032875
JORDAN STATHAM
BIRMINGHAM, AL
NPI
1447032875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
JORDAN STATHAM RBT
2305 ARLINGTON AVE S
BIRMINGHAM, AL 35205-4111
Phone number: 205-957-0294
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Mailing Address
JORDAN STATHAM RBT
4778 OVERTON RD
BIRMINGHAM, AL 35210-3803
Phone number: 205-957-0294
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