Individual ProviderJordan AtkinsonBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1221 Eucalyptus Ave, Vista, CA 92084-6334(951) 252-4255PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Atkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437929205Provider TypeIndividualFull NameAtkinson, JordanGenderMaleSole ProprietorYesEnumeration Date1/3/2024Last Updated1/3/2024Contact InformationPractice LocationPractice Address1221 Eucalyptus Ave, Vista, CA 92084-6334Phone(951) 252-4255FaxUnlisted FaxMailing LocationMailing Address1221 Eucalyptus Ave, Vista, CA 92084-6334PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer