Blake, Jordan Marie

Blake, Jordan Marie is an individual health care provider with primary practice located at 1909 Hillbrooke Trl Ste 3 , Tallahassee FL 32311-7902. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Blake, Jordan Marie can be contacted via phone (850) 299-4862.

Contact Information

Primary practice address
1909 Hillbrooke Trl Ste 3 Tallahassee FL 32311-7902
Phone: (850) 299-4862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida

Profile Details

NPI number 1134903727
LBN Legal business name Blake, Jordan Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 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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