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: |