Healthcare Provider Details

I. General information

NPI: 1386303824
Provider Name (Legal Business Name): JORDAN FREELS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 HIGH POINT BLVD STE 160
BETHLEHEM PA
18017-7820
US

IV. Provider business mailing address

6688 BLUE CHURCH RD S
COOPERSBURG PA
18036-1877
US

V. Phone/Fax

Practice location:
  • Phone: 610-867-3173
  • Fax:
Mailing address:
  • Phone: 201-575-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: