Jordan, Antoinette
Jordan, Antoinette is an individual health care provider with primary practice located at 793 Old Route 119 Highway North , Indiana PA 15701-6826. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jordan, Antoinette can be contacted via phone (724) 465-5576.Contact Information
Primary practice address
793 Old Route 119 Highway North
Indiana PA 15701-6826
Phone: (724) 465-5576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1659874915 |
|---|---|
| LBN Legal business name | Jordan, Antoinette |
| Credentials | MS, MED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Jul 22nd, 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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