Jordan-alexander Pace, is a
Behavior Technician based in Colorado Springs, Colorado. Jordan-alexander Pace is licensed to practice in Colorado (license number ) and his current practice location is
2233 Academy Pl Ste 200, Colorado Springs, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 302-0002.
NPI number for Jordan-alexander Pace is 1700408770 and his current mailing address is 2233 Academy Pl Ste 200, Colorado Springs, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700408770.
Healthcare Provider's Profile
| Full Name | Jordan-alexander Pace |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 2233 Academy Pl Ste 200, Colorado Springs, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700408770
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 12/08/2021
Medical Identifiers
Medical identifiers for Jordan-alexander Pace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700408770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan-alexander Pace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan-alexander Pace,
2233 Academy Pl Ste 200,
Colorado Springs, CO 80909-1666
Ph: (719) 302-0002 | Jordan-alexander Pace,
2233 Academy Pl Ste 200,
Colorado Springs, CO 80909-1666
Ph: (719) 302-0002 |
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