Jordan, Brianisha Maria

Jordan, Brianisha Maria is an individual health care provider with primary practice located at 5185 Camino Al Norte Suite 120, N Las Vegas NV 89031-2415. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutritionist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Jordan, Brianisha Maria can be contacted via phone (702) 600-9433.

Contact Information

Primary practice address
5185 Camino Al Norte Suite 120 N Las Vegas NV 89031-2415
Phone: (702) 600-9433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1225464779
LBN Legal business name Jordan, Brianisha Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Oct 4th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225464779 NPPES
Nevada MEDICAID 1404690171

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