Black, Jordin

Black, Jordin is an individual health care provider with primary practice located at 314 10Th Ave S Ste 100 , Waite Park MN 56387-1400. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Black, Jordin can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
314 10Th Ave S Ste 100 Waite Park MN 56387-1400
Phone: (605) 271-2690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Minnesota
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1164201000
LBN Legal business name Black, Jordin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2023
Last updated Apr 10th, 2024 - 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