Provider Demographics
NPI:1417353384
Name:HOLLANDER, JORDAN M (M ED BCBA)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:M
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:M ED BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S KEIM ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8249
Mailing Address - Country:US
Mailing Address - Phone:610-349-6607
Mailing Address - Fax:
Practice Address - Street 1:1900 S KEIM ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-8249
Practice Address - Country:US
Practice Address - Phone:610-349-6607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst