Most Relevant Information
Provider Data
NPI Number: | 1003535758 |
Provider Name: | JORDAN CAMPBELL |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | 22203620 |
Most Important Dates
Enumeration Date: | 08/25/2022 |
Last Updated: | 08/25/2022 |
Provider Practice Location
325 SEABOARD LN
FRANKLIN
TN
370676430
Practice Location Phone/Fax
Phone: | 6155387955 |
Fax: |
Provider Mailing Location
325 SEABOARD LN
FRANKLIN
TN
370676430
Provider Mailing Phone/Fax
Phone: | |
Fax: |