Baker, Jordan

Baker, Jordan is an individual health care provider with primary practice located at 2601 N Walton Blvd Ste 1 , Bentonville AR 72712-4302. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Baker, Jordan can be contacted via phone (479) 802-4798.

Contact Information

Primary practice address
2601 N Walton Blvd Ste 1 Bentonville AR 72712-4302
Fax: (479) 688-0859
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-91216 Arkansas

Profile Details

NPI number 1083246698
LBN Legal business name Baker, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Feb 11th, 2020 - about 4 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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