JORDAN WADE MCDOUGAL

FREDERICKSBURG, VA
NPI1669943536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
Mr. JORDAN WADE MCDOUGAL RBT
1411 PRINCESS ANNE STREET
FREDERICKSBURG, VA 22401
Phone number: 540-922-1110
Mailing Address
Mr. JORDAN WADE MCDOUGAL RBT
114 JIB DR
STAFFORD, VA 22554-5322
Phone number: 540-699-4922