Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordin Black

Individual provider Day Training/Habilitation Specialist · NPI 1164201000

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 100
Waite Park, MN 56387-1400
Phone: (605) 271-2690
Show map & directions

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 number1164201000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESApril 10, 2024
Certification dateApril 9, 2024