Shane Jordan

Behavior Analyst · Vienna, VA

Individual Active NPI

NPI number 1972062495

Practice location

8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641
Phone
(877) 504-4141

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NPI record

NPI
1972062495
Entity type
Individual (Type 1)
Enumeration date
March 14, 2019
Last updated
October 12, 2024
Certified
October 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-23-66606 —

Mailing address

1325 S State St
Dover, DE 19901-4945

About Shane Jordan

Shane Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 8230 Leesburg Pike Ste 740, Vienna, VA 22182-2641. The NPI number 1972062495 was assigned on March 14, 2019 and the record was last updated on October 12, 2024.

Shane Jordan lists a license in the registry: #1-23-66606 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Jordan?

The NPI number is 1972062495.

What is the phone number of Shane Jordan?

The phone number listed for the practice location is (877) 504-4141.

Where is Shane Jordan located?

8230 Leesburg Pike Ste 740, Vienna, VA 22182-2641.

What is the taxonomy code for Shane Jordan?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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