JORDAN MICHAEL GRESHAM

MARIETTA, GA
NPI1740806546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-112230)
Enumeration Date2020-06-18
Last Update Date2020-06-18
Business Address
JORDAN MICHAEL GRESHAM
2651 DALLAS HWY SW
MARIETTA, GA 30064-2541
Phone number: 678-486-1904
Mailing Address
JORDAN MICHAEL GRESHAM
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885