NPI 1396406930 · live from the CMS NPI Registry
Jordan Karlson, BCBA
Behavior Analyst in Sioux City, IA. National Provider Identifier 1396406930, active.
NPI record
| NPI | 1396406930 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4280 Sergeant Rd Ste 230, Sioux City, IA 51106 |
| Practice phone | 605-952-0551 |
| Mailing address | 30882 472nd Ave, Beresford, SD 57004 |
| Enumerated | January 5, 2022 |
| Last updated | July 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 114647 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.