Jordin Black
Jordin Black is a Day Training/Habilitation Specialist in Waite Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.
- Licensed in
- MN
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
314 10th Ave S Ste 100Waite Park, MN 56387-1400
Phone: (605) 271-2690
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Day Training/Habilitation Specialist | Taxonomy 373H00000X (MN) |
Record details
| NPI number | 1164201000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 9, 2024 |
| Mailing address | 314 10th Ave S Ste 100, Waite Park, MN 56387-1400 |