Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODUS J JORDAN, REVEREND
Active Sole ProprietorMR. THEODUS J JORDAN, REVEREND is a Behavior Analyst healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1700226321 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1700226321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2013 (13.171929411852 yrs)
- Last Updated
- Jun 27, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
804 CENTRE STREET300840 --MAILINGJAMAICA PLAIN, MA, 021300000Browse MA providers · Browse ZIP 02130
- Phone
- 5085886443
- Fax
- 5085886443
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in JAMAICA PLAIN, MA
| Name | Credential | NPI |
|---|---|---|
| JOANNE E CAISSIE | — | 1427315365 |
| NIDIA SANTIAGO | — | 1083029532 |
| ISABEL LEON | — | 1225408776 |
| CRISTIAN ALBERTO PENA | — | 1528438074 |
| FANCESCA CHERESTAL | — | 1508239393 |
| DORACRUZ LEJENTUS | — | 1679947584 |
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.