Most Relevant Information
Provider Data
| NPI Number: | 1003567462 |
| Provider Name: | JORDAN BARTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2022 |
| Last Updated: | 01/17/2022 |
Provider Practice Location
1494 HAMILTON AVE
SAN JOSE
CA
951254535
Practice Location Phone/Fax
| Phone: | 8662271211 |
| Fax: |
Provider Mailing Location
1494 HAMILTON AVE
SAN JOSE
CA
951254535
Provider Mailing Phone/Fax
| Phone: | 8662271211 |
| Fax: |