Reverdes, Jordan

Reverdes, Jordan is an individual health care provider with primary practice located at 7326 Little Rd , New Port Richey FL 34654-5518. 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. Reverdes, Jordan can be contacted via phone (727) 364-2212.

Contact Information

Primary practice address
7326 Little Rd New Port Richey FL 34654-5518
Phone: (727) 364-2212
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 1-22-61402

Profile Details

NPI number 1295385938
LBN Legal business name Reverdes, Jordan
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2019
Last updated Apr 6th, 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 1295385938 NPPES
Florida MEDICAID 104759300
Florida Other 1-22-61402

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