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General NPI Number Information
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NPI Number | 1669280632
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Entity Type | Individual
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Provider Name | COURTNEY ARCURI JORDAN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 6820 SOUTHPOINT PKWY STE 9
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6277
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 375 SERVIA DR
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City | SAINT JOHNS
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State | FL
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Zip | 32259-2234
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Country | US
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Telephone | 904-233-0345
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-43061
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License Number State | FL
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