JORDAN DAVID PANCHU

SURPRISE, AZ
NPI1518725316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies103TS0200X Psychologist, School
Enumeration Date2024-03-07
Last Update Date2025-03-19
Business Address
JORDAN DAVID PANCHU
14765 W MOUNTAIN VIEW BLVD STE 107
SURPRISE, AZ 85374-2704
Phone number: 602-649-0245
Mailing Address
JORDAN DAVID PANCHU
17617 W VOLTAIRE ST
SURPRISE, AZ 85388-5058
Phone number: 480-329-7188
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