Stella L Jordan
Behavior Analyst
125 S. Pecan
Boley
, Oklahoma 74829
Stella L Jordan
Behavior Analyst
125 S. Pecan
Boley
, Oklahoma 74829
(405) 567-0055
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Stella L Jordan
- Po Box 6
- Boley, OK
- Zip : 74829-0006
- Fax : (405) 567-0055
- Phone : (405) 567-0054
Second Address
- Stella L Jordan
- 125 S. Pecan
- Boley, OK
- Zip : 74829
- Phone : (918) 667-3317
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003051426 |
|---|---|
| Provider Name | Stella L Jordan |
| First Address | Boley, OK 74829-0006 |
| Second Address | Boley, OK 74829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2008 |
| Last Update Date | 15/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200125800A | (05) | OK |
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.