NPI 1417726340 · live from the CMS NPI Registry
Jordan Dorsey
Behavior Analyst in Fort Dodge, IA. National Provider Identifier 1417726340, active.
NPI record
| NPI | 1417726340 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 142 N 9th St, Fort Dodge, IA 50501 |
| Practice phone | 515-293-5620 |
| Enumerated | December 20, 2023 |
| Last updated | December 20, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.