NPI 1003417254
Jordan Dimedio
Practice location
- Address
- 583 Shoemaker Rd, King of Prussia, PA 19406-4201
- Phone
- (484) 681-2170
- Mailing address
- 583 Shoemaker Rd STE 230, King of Prussia, PA 19406-4238
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003417254
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2020
- Record last updated
- 4 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.