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CHERYL BORDEN-JORDAN BCBA

Behavioral Analyst

Auburndale, Florida

Provider NPI: 1205061215

Provider Information:
 CHERYL  BORDEN-JORDAN BCBA
Gender: F
Not Sole Proprietor

Practice Location:
117 E LAKE AVE SUITE D AUBURNDALE, FL 33823 US
Tel: 863-551-3300  Fax: 863-551-3301

Business Mailing Address:
PO BOX 1057  LAKE ALFRED, FL 33850 US
Tel: 863-551-3300  Fax: 863-551-3301

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

FL1-01-0480

Other Provider Identifiers:

IssuerNumberStateType
MEDWAIVER675822396FL01
MEDWAIVER675822398FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS FL - Page 1



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