Most Relevant Information
Provider Data
| NPI Number: | 1003488982 |
| Provider Name: | JORDYN ROSS RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-175083 |
Most Important Dates
| Enumeration Date: | 07/12/2021 |
| Last Updated: | 07/12/2021 |
Provider Practice Location
11450 N MERIDIAN ST STE 100
CARMEL
IN
460324688
Practice Location Phone/Fax
| Phone: | 3176897850 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |