JENNIFER JORDAN (NPI# 1013462613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013462613 |
| Entity Type | Individual |
| Full Name | JENNIFER JORDAN |
| Credential | RBT |
| Practice Address |
710 Columbus Ave West Branch MI 48661-8761 |
| Mailing Address |
Po Box 663 Lakeland MI 48143-0663 |
| Practice Telephone | 9897012061 |
| Mailing Telephone | 8105992129 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41521 W 11 Mile Rd, Novi, MI 483751803 | 2482990030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169815 | Jennifer Luvenia Jordan | Driver | 701 Shady Meadow Ln, Glenn Heights, TX 75154-7923 | 2018-06-29 |
| 1427561372 | Jennifer Jordan | Nurse Practitioner | 4404 Tina Ln, Plant City, FL 33563-8518 | 2017-11-14 |
| 1588908669 | Jennifer Elaine Jordan | Acupuncturist | 29 Mountain View St, Oak View, CA 93022-9412 | 2012-11-15 |
| 1730440389 | Jennifer Jordan | Licensed Practical Nurse | 31 Scarborough Ln Ste B, Wappingers Falls, NY 12590-5151 | 2012-05-30 |
| 1487925772 | Jennifer Rush Jordan | Registered Nurse | 607 Main Street, Lansdale, PA 19446 | 2012-01-19 |
| 1851617575 | Jennifer Anne Jordan | Speech-Language Pathologist | 1315 Chesterpoint Dr, Spring, TX 77386-2567 | 2010-04-20 |
| 1366685984 | Jennifer Jordan | Speech-Language Pathologist | 3300 Jordan Oaks Dr, Efland, NC 27243-9812 | 2009-04-13 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1891816336 | Jennifer Ann Jordan | Licensed Practical Nurse | 6152 N Main St, Wilkinson, IN 46186-9640 | 2007-04-03 |
| 1841338209 | Jennifer Jordan | Marriage & Family Therapist | 624 E Grand Blvd Ste E, Corona, CA 92879 | 2007-02-01 |
| Street Address |
710 COLUMBUS AVE |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144613233 | Robin Savage | Technician, Other | 710 Columbus Ave, West Branch, MI 48661-8761 | 2015-03-12 |
| 1871139147 | Krystle Duey | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-21 |
| 1598301863 | Andrew Hilton | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-21 |
| 1639714876 | Tari Kelahan | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-12 |
| 1760941637 | Kevin Vanorman | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-03-19 |
| 1720553555 | Nicole Wend | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2018-10-08 |
| 1790260065 | James Tambs | Case Manager/Care Coordinator | 710 Columbus Ave, West Branch, MI 48661-8761 | 2018-10-02 |
| 1962927533 | Amanda Martin | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040321 | Nicole Trout | Behavior Technician | 1069 S Campbell Rd, West Branch, MI 48661-9771 | 2020-10-13 |
| 1568938926 | Elissa Marie Jones | Behavior Technician | 155 N Morrison Rd, West Branch, MI 48661-8428 | 2018-10-23 |
| 1447740329 | Stephanie Marie Pokrzywnicki | Behavior Technician | 4424 Double Eagle Dr, West Branch, MI 48661-9659 | 2018-05-16 |
| 1679084982 | Susan Rayette White | Behavior Technician | 409 N 1st St, West Branch, MI 48661-1118 | 2017-10-14 |
| 1700323714 | Jessica Sheppard | Behavior Technician | 317 S Burgess St, West Branch, MI 48661-1407 | 2017-01-27 |
| 1871139147 | Krystle Duey | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-21 |
| 1598301863 | Andrew Hilton | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-21 |
| 1639714876 | Tari Kelahan | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-11-12 |
| 1760941637 | Kevin Vanorman | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2019-03-19 |
| 1720553555 | Nicole Wend | Behavior Technician | 710 Columbus Ave, West Branch, MI 48661-8761 | 2018-10-08 |
| Find all providers in WEST BRANCH | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on JENNIFER JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.