Beach, Jordan Nicole

Beach, Jordan Nicole is an individual health care provider with primary practice located at 1605 Woodridge Dr Se Unit B , Port Orchard WA 98366-3818. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Beach, Jordan Nicole can be contacted via phone (360) 443-2399.

Contact Information

Primary practice address
1605 Woodridge Dr Se Unit B Port Orchard WA 98366-3818
Phone: (360) 443-2399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X A.B.61477567 Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CBT.CB.61472697 Washington

Profile Details

NPI number 1811774037
LBN Legal business name Beach, Jordan Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Nov 9th, 2023 - about last year

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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