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Contact Information

BRIANISHA M JORDAN
5185 CAMINO AL NORTE
SUITE 120
NORTH LAS VEGAS, NV89031-2415
 Phone: 702-600-9433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Mental Health

101YM0800X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for BRIANISHA M JORDAN · (Female)

NPI Number 1225464779
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2013
Last updated 10/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NV Medicaid 1404690171
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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