Most Relevant Information
Provider Data
| NPI Number: | 1003673146 |
| Provider Name: | JORDAN ADAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/05/2024 |
| Last Updated: | 03/05/2024 |
Provider Practice Location
120 STEVENS ST SW
GRAND RAPIDS
MI
495071526
Practice Location Phone/Fax
| Phone: | 6169290033 |
| Fax: |
Provider Mailing Location
746 SHADYBROOK DR
HOLLAND
MI
494241602
Provider Mailing Phone/Fax
| Phone: | 5132900065 |
| Fax: |