Johnson, Jordan
Johnson, Jordan is an individual health care provider with primary practice located at 1834 Fields Blvd , Greenfield IN 46140-3029. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Jordan can be contacted via phone (814) 602-3287.Contact Information
Primary practice address
1834 Fields Blvd
Greenfield IN 46140-3029
Phone: (814) 602-3287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-25355 | Indiana |
Profile Details
| NPI number | 1659824910 |
|---|---|
| LBN Legal business name | Johnson, Jordan |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2016 |
| Last updated | Nov 5th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659824910 | NPPES |
| Indiana | MEDICAID | 300011398 |
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