Belisle, Jordan

Belisle, Jordan is an individual health care provider with primary practice located at 747 E Park St Apt K , Carbondale IL 62901-3874. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Belisle, Jordan can be contacted via phone (618) 303-4561.

Contact Information

Primary practice address
747 E Park St Apt K Carbondale IL 62901-3874
Phone: (618) 303-4561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1649797895
LBN Legal business name Belisle, Jordan
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Aug 28th, 2017 - about 9 years ago

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.

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