Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN JOSIA BOTHWELL
Active Sole ProprietorJORDAN JOSIA BOTHWELL is a Behavior Technician healthcare provider located in FAIRFIELD, California. NPI 1154178572 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · FAIRFIELD, CA
Registration Details
- NPI Number
- 1154178572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2024 (2.1034444463431 yrs)
- Last Updated
- May 2, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
490 CHADBOURNE RD STE A131FAIRFIELD, CA, 945341862Browse CA providers · Browse ZIP 94534
- Phone
- 8446363987
- Fax
- 7074026059
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| ANNA BRANSCUM | — | 1568034080 |
| MRS. TRACY TEETER VIRAMONTES | — | 1417184730 |
| DONALD NATHANIEL POSTON SR. | RAS | 1508138827 |
| MR. TIMOTHY MIRANDA | — | 1386013621 |
| CECILIA ALVARADO-MAL | — | 1013371012 |
| OLGA AVILA | — | 1780121202 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.