SearchVirginia103K00000X

Jordan Fair, BCBA LBA

NPI 1700465143 · on the registry since 2021

Practice

Address
293 Independence Blvd Ste 400
Virginia Beach, VA 23462
Phone
(757) 490-3009
Organisation at this address
Maxim Healthcare Services
Maxim Healthcare Services
Procare Wellness Network Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-22

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 Virginia