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1972062495
SHANE JORDAN
VIENNA, VA
NPI
1972062495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-23-66606)
Enumeration Date
2019-03-14
Last Update Date
2024-10-12
Business Address
SHANE JORDAN
8230 LEESBURG PIKE STE 740
VIENNA, VA 22182-2641
Phone number: 877-504-4141
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Mailing Address
SHANE JORDAN
1325 S STATE ST
DOVER, DE 19901-4945
Phone number:
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