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Jordan Boudreau, PHD BCBA
NPI 1043567290 · on the registry since 2012
Practice
- Address
- 39525 W 14 Mile Rd Ste 100
Novi, MI 48377 - Phone
- (231) 497-0555
- Fax
- (855) 605-7700
- Organisation at this address
- Inspire Autism Llc
Zafar S Tariq Dds Plc
Advanced Endodontics Pc
Henry Ford Health System
Family Health And Medicine PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 1765 Sw Captains Pl, Palm City, FL
- 1765 Sw Captains Pl, Palm City, FL
- 15825 Upper Birch Dr, Traverse City, MI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan