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NPI Code Detail

MEDICARE: CHARLENE LATOYA JORDAN-MAPP

MEDICARE: CHARLENE LATOYA JORDAN-MAPP
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1720237027
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE LATOYA JORDAN-MAPP
Provider Business Mailing Address
First Line : 2439 E AVENUE R4
Second Line :
City : PALMDALE
State : CA
Zip : 93550-5490
Country : US
Telephone Number : 661-481-1225
Fax Number :
Provider Business Practice Location Address
First Line : 611 N BRAND BLVD STE 100
Second Line :
City : GLENDALE
State : CA
Zip : 91203-3240
Country : US
Telephone Number : 747-286-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 10/25/2025

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Directions to “ CHARLENE LATOYA JORDAN-MAPP ” Practice Location

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