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NPI Code Detail

MEDICARE: JADON CHARLES HORD

MEDICARE: JADON CHARLES HORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1316803760
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADON CHARLES HORD
Provider Business Mailing Address
First Line : 10251 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1305
Country : US
Telephone Number : 602-926-7200
Fax Number :
Provider Business Practice Location Address
First Line : 10251 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1305
Country : US
Telephone Number : 602-926-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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