NPI 1235683673
Jordan Redman
Practice location
- Address
- 46 Trifecta Pl Suite 105, Charles Town, WV 25414-5652
- Phone
- (304) 725-4536
- Mailing address
- 814 Courthouse Dr, Martinsburg, WV 25404-3775
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1235683673
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Aug 2016
- Record last updated
- 14 Aug 2016
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.