Beach, Jordan Nicole

Beach, Jordan Nicole is an individual health care provider with primary practice located at 1500 N Clybourn Ave Unit C105 , Chicago IL 60610-2295. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Beach, Jordan Nicole can be contacted via phone (312) 242-1665.

Contact Information

Primary practice address
1500 N Clybourn Ave Unit C105 Chicago IL 60610-2295
Phone: (312) 242-1665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X A.B.61477567 Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CBT.CB.61472697 Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-78117 Colorado

Profile Details

NPI number 1811774037
LBN Legal business name Beach, Jordan Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Feb 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers