| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JORDAN CUMMINS PARKER | 1972135036 | 2024-03-10 |
Jordan Cummins Parker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972135036. Registration indicates Jordan Cummins Parker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jordan Cummins Parker |
| Practice Office Address | 5570 GALAHAD TRL MILTON, FL US |
| Practice Office Telephone | 6018625844 |
| Mailing Address | 5570 GALAHAD TRL MILTON, FL 325835663 US |
| Business Telephone | 6018625844 |
| work email [] | JordanParker | Direct |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-19-35879
|
| 1-19-35879 | OTHER | NA |