JORDAN STEPHAN

SPRINGFIELD, IL
NPI1952122657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
JORDAN STEPHAN
614 N 6TH ST
SPRINGFIELD, IL 62702-5313
Phone number: 574-387-4313
Mailing Address
JORDAN STEPHAN
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: