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Jaqwan Jordan

NPI 1134906571 · on the registry since 2023

Practice

Address
4106 Columbia Rd Ste 101
Augusta, GA 30907
Phone
(706) 426-0583
Organisation at this address
Florida Autism Center
Florida Autism Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Additional practice sites

  • 2905 Arrowhead Dr Apt L7, Augusta, GA

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-14
Status
Not present in the most recent federal file

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 Georgia