Johnson, Jordyn M
Johnson, Jordyn M is an individual health care provider with primary practice located at 4559 Benes Ave , Glen Carbon IL 62034. 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, Jordyn M can be contacted via phone (217) 525-8332.Contact Information
Primary practice address
4559 Benes Ave
Glen Carbon IL 62034
Phone: (217) 525-8332
Fax: (217) 789-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1063907855 |
|---|---|
| LBN Legal business name | Johnson, Jordyn M |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2018 |
| Last updated | Jan 9th, 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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