Clark, Jordan

Clark, Jordan is an individual health care provider with primary practice located at 2312 Durwood Rd , Little Rock AR 72207-3431. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Jordan can be contacted via phone (501) 313-5973.

Contact Information

Primary practice address
2312 Durwood Rd Little Rock AR 72207-3431
Phone: (501) 313-5973
Fax: (501) 747-1811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1417563206
LBN Legal business name Clark, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 5 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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