MEDICARE: JORDAN PRICE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1063209633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN PRICE

Provider Business Mailing Address
First Line	:	2814 MOUNT BAKER PASS AVE # 1
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98312-5714
Country	:	US
Telephone Number	:	904-537-8302
Fax Number	:

Provider Business Practice Location Address
First Line	:	3377 BETHEL RD SE STE 107
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-5608
Country	:	US
Telephone Number	:	833-747-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

Similar Medicare Providers

1457163503 — ETHAN RETONIO
Practice Location Address:

3377 BETHEL RD SE STE 107
PORT ORCHARD, WA
98366-5608

Practice Phone: 833-747-4222
Practice Fax:

1649071010 — ANNASTACIA LEE COLTON
Practice Location Address:

3377 BETHEL RD SE STE 107
PORT ORCHARD, WA
98366-5608

Practice Phone: 833-747-4222
Practice Fax:

1235931064 — KAREN JOANNA TARANGO
Practice Location Address:

3377 BETHEL RD SE STE 107
PORT ORCHARD, WA
98366-5608

Practice Phone: 831-400-5554
Practice Fax:

1891732327 — ALBERTSONS LLC
Practice Location Address:

10105 S US HIGHWAY 1
PORT ST LUCIE, FL
34952-5608

Practice Phone: 772-335-7602
Practice Fax: 772-335-2792

1265918270 — KATE ELIZABETH SHELLHAMMER
Practice Location Address:

557 BROADWAY APT 15C
PORT EWEN, NY
12466-5608

Practice Phone: 845-389-7819
Practice Fax:

1578294377 — RONALD LEE WUSSICK LCSW
Practice Location Address:

1232 HARBOUR POINT DR
PORT ORANGE, FL
32127-5608

Practice Phone: 714-336-6500
Practice Fax:

Directions to “ JORDAN PRICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.