Marriott, Jordan

Marriott, Jordan is an sole proprietor health care provider with primary practice located at 1353 E Main St , Brownsburg IN 46112-1433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Marriott, Jordan can be contacted via phone (317) 520-4748.

Contact Information

Primary practice address
1353 E Main St Brownsburg IN 46112-1433
Phone: (317) 520-4748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-47659 Georgia

Profile Details

NPI number 1992397723
LBN Legal business name Marriott, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2021
Last updated Jun 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992397723 NPPES
Indiana Other AJS963W16619 ANTHEM

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