Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDIN BLACK
ActiveJORDIN BLACK is a Behavior Technician healthcare provider located in WAITE PARK, Minnesota. NPI 1164201000 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · WAITE PARK, MN
Registration Details
- NPI Number
- 1164201000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2023 (2.7313704155056 yrs)
- Last Updated
- Apr 10, 2024
Practice Information
- Address
-
314 10TH AVE S STE 100WAITE PARK, MN, 563871400Browse MN providers · Browse ZIP 56387
- Phone
- 6052712690
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in WAITE PARK, MN
| Name | Credential | NPI |
|---|---|---|
| GAIL LANOUE | — | 1396370201 |
| HAMDI HASSAN | — | 1730717083 |
| IBRAHIM ADAN NOOR | — | 1003416157 |
| LYNN DENT | — | 1871178699 |
| STEPHANIE GROTH | — | 1518549757 |
| OTGONTUYA ROSS | — | 1043974850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.