MEDICARE: ISAAC CRAWFORD JORDAN

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		TX

General Provider Information

NPI Number	:	1891653762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAAC CRAWFORD JORDAN

Provider Business Mailing Address
First Line	:	2405 PALMER CIR STE 100
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-6351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8795 PRESTON TRACE BLVD STE 300
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-3788
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ ISAAC CRAWFORD JORDAN ” Practice Location

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