Jordan Dimedio
Behavior Technician
583 Shoemaker Rd
King of Prussia
, Pennsylvania 19406-4201
Jordan Dimedio
Behavior Technician
583 Shoemaker Rd
King of Prussia
, Pennsylvania 19406-4201
(484) 681-2170
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jordan Dimedio
- 583 Shoemaker Rd Ste 230
- King Of Prussia, PA
- Zip : 19406-4238
- Phone : (484) 681-2170
Second Address
- Jordan Dimedio
- 583 Shoemaker Rd
- King Of Prussia, PA
- Zip : 19406-4201
- Phone : (484) 681-2170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-141092 | NJ |
National Provider Identifier
| NPI | 1003417254 |
|---|---|
| Provider Name | Jordan Dimedio |
| First Address | King Of Prussia, PA 19406-4238 |
| Second Address | King Of Prussia, PA 19406-4201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2020 |
| Last Update Date | 04/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.