Provider Demographics
NPI:1174402234
Name:JORDAN, CHLOE MICHELLE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:MICHELLE
Last Name:JORDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WHIMBREL WAY
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-7714
Mailing Address - Country:US
Mailing Address - Phone:951-640-4268
Mailing Address - Fax:
Practice Address - Street 1:27555 YNEZ RD STE 406
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4679
Practice Address - Country:US
Practice Address - Phone:619-797-1090
Practice Address - Fax:858-444-8827
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician