Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MICHAEL PETZOLDT
ActiveJORDAN MICHAEL PETZOLDT is a Behavior Technician healthcare provider located in CAPE GIRARDEAU, Missouri. NPI 1942895776 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · CAPE GIRARDEAU, MO
Registration Details
- NPI Number
- 1942895776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2021 (5.4492935729446 yrs)
- Last Updated
- Mar 3, 2021
Practice Information
- Address
-
1417 N MOUNT AUBURN RD STE CCAPE GIRARDEAU, MO, 637012171Browse MO providers · Browse ZIP 63701
- Phone
- 5732715240
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in CAPE GIRARDEAU, MO
| Name | Credential | NPI |
|---|---|---|
| MORGAN ELAINE SCHAUPERT | — | 1902372907 |
| SAVANNAH LAINE MENARD | — | 1972079580 |
| MRS. KIMBERLIE SUZANNE HAUPT | — | 1306487111 |
| HOLLY ELIZABETH TUCKER | — | 1235770660 |
| CALLI MICLANE HOUSE | — | 1639710007 |
| BRANDON COLBERT | — | 1740821180 |
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.