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NPI Code Detail

MEDICARE: JORDAN DODY

MEDICARE: JORDAN DODY
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 : 1134062763
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN DODY
Provider Business Mailing Address
First Line : 6830 S REED CT
Second Line :
City : LITTLETON
State : CO
Zip : 80128-9431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1035 EL RANCHO RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8238
Country : US
Telephone Number : 720-295-3790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ JORDAN DODY ” Practice Location

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