Jordan David Panchu, is a
Behavior Technician based in Surprise, Arizona. Jordan David Panchu is licensed to practice in * (Not Available) (license number ) and his current practice location is
14765 W Mountain View Blvd Ste 107, Surprise, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 649-0245.
NPI number for Jordan David Panchu is 1518725316 and his current mailing address is 17617 W Voltaire St, Surprise, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518725316.
Healthcare Provider's Profile
| Full Name | Jordan David Panchu |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 14765 W Mountain View Blvd Ste 107, Surprise, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518725316
- Provider Enumeration Date: 03/07/2024
- Last Update Date: 03/19/2025
Medical Identifiers
Medical identifiers for Jordan David Panchu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518725316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | (Arizona) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan David Panchu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan David Panchu, 17617 W Voltaire St, Surprise, AZ 85388-5058 Ph: (480) 329-7188 | Jordan David Panchu, 14765 W Mountain View Blvd Ste 107, Surprise, AZ 85374-2704 Ph: (602) 649-0245 |
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