Takasugi, Jordan

Takasugi, Jordan is an sole proprietor health care provider with primary practice located at 4301 W Markham St # 584 , Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavior Technician. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Takasugi, Jordan can be contacted via phone (501) 526-7485.

Contact Information

Primary practice address
4301 W Markham St # 584 Little Rock AR 72205-7101
Phone: (501) 526-7485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1013466309
LBN Legal business name Takasugi, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2016
Last updated Apr 5th, 2021 - 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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