Most Relevant Information
Provider Data
NPI Number: | 1003311440 |
Provider Name: | JORDAN LYNN SILK BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-18-29854 |
Most Important Dates
Enumeration Date: | 03/28/2018 |
Last Updated: | 03/28/2018 |
Provider Practice Location
8350 CRAIG ST
INDIANAPOLIS
IN
462503593
Practice Location Phone/Fax
Phone: | 3175780410 |
Fax: |
Provider Mailing Location
12858 LONGLEAF LN
FISHERS
IN
460389183
Provider Mailing Phone/Fax
Phone: | 3173667462 |
Fax: |