Lyssy, Jordan M

Lyssy, Jordan M is an individual health care provider with primary practice located at 7608 Narrow Pass St , Live Oak TX 78233-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lyssy, Jordan M can be contacted via phone (210) 714-3545.

Contact Information

Primary practice address
7608 Narrow Pass St Live Oak TX 78233-3019
Phone: (210) 714-3545
Fax: (210) 579-7115
Website:
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Health care specialties

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

Profile Details

NPI number 1093479628
LBN Legal business name Lyssy, Jordan M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 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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