Jordan, Keana

Jordan, Keana is an individual health care provider with primary practice located at 5360 Cherokee St , Acworth GA 30101-7405. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jordan, Keana can be contacted via phone (678) 464-5753.

Contact Information

Primary practice address
5360 Cherokee St Acworth GA 30101-7405
Phone: (678) 464-5753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACD646949 Georgia

Profile Details

NPI number 1225703184
LBN Legal business name Jordan, Keana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2021
Last updated Aug 12th, 2021 - about 5 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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