Jordan, Alexandra E

Jordan, Alexandra E is an individual health care provider with primary practice located at 9518 Sw 148Th Avenue Cir E , Miami FL 33196-1667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Jordan, Alexandra E can be contacted via phone (786) 325-8589.

Contact Information

Primary practice address
9518 Sw 148Th Avenue Cir E Miami FL 33196-1667
Phone: (786) 325-8589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 02112831 Florida

Profile Details

NPI number 1003328717
LBN Legal business name Jordan, Alexandra E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Dec 12th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003328717 NPPES
Florida MEDICAID 024344000

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