AMANDA JORDAN (NPI# 1104332238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104332238 |
| Entity Type | Individual |
| Full Name | AMANDA JORDAN |
| Practice Address |
125 Ne 102nd Ave Portland OR 97220-4166 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5032546317 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222327 | Amanda Jordan | Counselor | 112 Eston Dr, Goose Creek, SC 29445-7131 | 2020-07-22 |
| 1710044474 | Amanda T. Jordan | Nurse Practitioner | 114 E Presley Blvd, Mccomb, MS 39648-5908 | 2007-01-02 |
| 1861961161 | Amanda Jordan | Behavior Technician | 1613 Prospect Pkwy Ste 110, Fort Collins, CO 80525-9707 | 2018-11-15 |
| 1275014326 | Amanda Michelle Jordan | Occupational Therapist | 720 E Romie Ln, Salinas, CA 93901-4208 | 2018-08-27 |
| 1114433091 | Amanda Rose Jordan | Dental Hygienist | 19 Pettingill St, Lewiston, ME 04240-5903 | 2017-12-14 |
| 1730612524 | Amanda Grady Jordan | Behavioral Analyst | 1107 Alverser Dr, Midlothian, VA 23113-2655 | 2017-04-07 |
| 1194270884 | Amanda S Jordan | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-08-23 |
| 1003280843 | Amanda Jordan | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2015-11-17 |
| 1770969412 | Amanda Jordan | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2015-08-05 |
| 1528446135 | Amanda Lorien Jordan | Chiropractor | 103 Charwood Dr, Abingdon, VA 24210-2476 | 2015-05-14 |
| Street Address |
125 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699108605 | Angela D Lentini | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2013-08-13 |
| 1881227569 | Samuel Ahlquist | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2020-02-20 |
| 1033758479 | Jessica Trailer | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2020-01-02 |
| 1366081234 | Christopher Lindsay | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-12-24 |
| 1427699164 | Abby Marie Moss | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-10-03 |
| 1457900110 | Mary Ann Schelb | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-09-05 |
| 1962059204 | Patrick Boldt | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-08-21 |
| 1851946719 | Kalin Jo Cook-saucier | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-08-07 |
| 1104484666 | Hanna A Olson | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-05-30 |
| 1013575570 | Meagan Michelle Gonzalez | Behavioral Analyst | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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 |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1841824000 | Amorelle Clarke | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-02-26 |
| 1528691870 | Jodie Lynn Boettcher | Behavior Technician | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-02-14 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1063052603 | Cedar Hart Edell | Behavior Technician | 931 Sw Gaines St Apt A, Portland, OR 97239-3005 | 2020-01-12 |
| 1588204507 | Yarelisa Yesania Salcedo | Behavior Technician | 7800 Sw Barbur Blvd # 2, Portland, OR 97219-2823 | 2020-01-07 |
| 1669011045 | Devin Solar | Behavior Technician | 14405 Sw Beef Bend Rd Apt 3, Portland, OR 97224-1964 | 2020-01-02 |
| 1982243531 | Haley Anne Fellows | Behavior Technician | 8105 Se Taylor Ct, Portland, OR 97215-3059 | 2019-12-30 |
| Find all providers in PORTLAND | ||||
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| 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.