Black, Jordan

Black, Jordan is an sole proprietor health care provider with primary practice located at 1702 N Collins Blvd Ste 250 , Richardson TX 75080-3655. She recently has 2 registered licenses in different health care specialties including 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. Black, Jordan can be contacted via phone (248) 249-0030.

Contact Information

Primary practice address
1702 N Collins Blvd Ste 250 Richardson TX 75080-3655
Phone: (248) 249-0030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619492345
LBN Legal business name Black, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Mar 21st, 2023 - about 3 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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