Keith Jordan

Behavior Technician · Auburndale, FL

Individual Active NPI

NPI number 1295279263

Practice location

202 Howard St
Suite #3
Auburndale, FL 33823-3431
Phone
(863) 551-3300

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NPI record

NPI
1295279263
Entity type
Individual (Type 1)
Enumeration date
December 11, 2016
Last updated
December 11, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

PO Box 1057
Lake Alfred, FL 33850-1057
Phone
(863) 206-7000

About Keith Jordan

Keith Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 202 Howard St, Suite #3, Auburndale, FL 33823-3431. The NPI number 1295279263 was assigned on December 11, 2016 and the record was last updated on December 11, 2016.

Frequently asked questions

What is the NPI number of Keith Jordan?

The NPI number is 1295279263.

What is the phone number of Keith Jordan?

The phone number listed for the practice location is (863) 551-3300.

Where is Keith Jordan located?

202 Howard St, Suite #3, Auburndale, FL 33823-3431.

What is the taxonomy code for Keith Jordan?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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