JORDAN LYNNE JOHNSON


Address: 4673 E Highway 20, Niceville, FL 32578-9796
Phone: 8508970621

JORDAN LYNNE JOHNSON (NPI# 1215444369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215444369
Entity Type Individual
Full Name JORDAN LYNNE JOHNSON
Other Name JORDAN LYNNE JENSEN
Practice Address 4673 E Highway 20
Niceville
FL 32578-9796
Mailing Address 3771 Stefani Rd
Cantonment
FL 32533-7795
Practice Telephone 8508970621
Practice Fax Number 8508970621
Mailing Telephone 8506076910
Enumeration Date 2018-01-10
Last Update Date 2018-01-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician RBT-17-33999 FL Behavioral Health & Social Service Providers

Other Providers JORDAN JOHNSON

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1861090953 Jordan Johnson Case Manager/Care Coordinator 19710 Cherry Hill St, Southfield, MI 48076-1061 2020-10-12
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1871018366 Jordan Isaiah Johnson Licensed Practical Nurse 4503 Edmond Dr, South Euclid, OH 44121-3907 2017-08-07
1740735620 Jordan Johnson Physical Therapist 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 2016-08-19
1396114351 Jordan Johnson Behavioral Analyst 146 S Thomas St Ste E, Tupelo, MS 38801-5328 2015-09-21
1881072205 Jordan Johnson Technician, Other 222 6th Ave, Manistee, MI 49660-1318 2015-05-18
1528497286 Jordan R Johnson Marriage & Family Therapist 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 2013-11-04
1366888174 Jordan Lloyd Johnson Dentist 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 2013-05-20
1669085981 Jordan Johnson Physician Assistant 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 2020-08-26
1932723715 Jordan Tyler Johnson Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-06-08

Office Location

Street Address 4673 E HIGHWAY 20
City NICEVILLE
State FL
Zip Code 32578-9796

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023525276 April Chestnut Mcpherson Behavior Technician 4673 E Highway 20, Niceville, FL 32578-9796 2018-01-09
1649802471 Eamon Anderson Behavior Technician 4673 E Highway 20, Niceville, FL 32578-9796 2020-02-10
1588295711 Emily Sims Behavior Technician 4673 E Highway 20, Niceville, FL 32578-9796 2020-01-27
1164052254 Melissa Bean Behavioral Analyst 4673 E Highway 20, Niceville, FL 32578-9796 2020-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376028563 Southern Breeze Healthcare Family Medicine 4556 E Hwy 20, Suite 105, Niceville, FL 32578 2018-10-03
1497252860 Molly Marie Everitt Physician Assistant 2190 Fl-85 N, Niceville, FL 32578 2018-04-11
1972009314 Alexis Aust Student in an Organized Health Care Education/Training Program 104 Arrowhead Way, Niceville, FL 32578 2018-04-04
1518488949 Michelle Sasala Nurse Practitioner 4550 E Highway 20, Niceville, FL 32578 2017-07-06
1003336199 Comfortable Care Denta Health Professionals, Pa Dentist 1386 E John Sims Parkway, Niceville, FL 32578 2017-06-21
1306223888 Emerald Coast Periodontics Dentist 719 Bayshore Drive, Niceville, FL 32578 2015-05-04
1538586136 Pamela Ottesen Dmd LLC Dentist 1536 John Sims Pkwy, Niceville, FL 32578 2014-03-21
1417204066 Mary Jo Stiles Hearing Instrument Specialist 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 2012-08-13
1093086563 Pat T. Tidwell Md Pa Clinic/Center 4554 Highway 20 East, Niceville, FL 32578 2012-01-16
1952683260 Gentle Birth Options, LLC Nurse Practitioner 296 Bayshore Drive, Niceville, FL 32578 2011-09-13
Find all providers in zip 32578

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619584331 Catherine Mary Clark Behavior Technician 306 Anchors Pl, Niceville, FL 32578-2523 2020-09-27
1770191223 Koralis Ayala Behavior Technician 1728 Lilaberry Ln, Niceville, FL 32578-8740 2020-07-21
1912524620 Mandy M Letort Behavior Technician 4673 Fl-20, Niceville, FL 32578-3257 2020-06-29
1023525276 April Chestnut Mcpherson Behavior Technician 4673 E Highway 20, Niceville, FL 32578-9796 2018-01-09
1235730656 Jessica Percy Behavior Technician 80 College Blvd E, Niceville, FL 32578-1343 2020-11-03
1538769641 Anna Harney Behavior Technician 80 College Blvd E, Niceville, FL 32578-1343 2020-10-28
1669072773 Charlie Filson-dineen Behavior Technician 80 College Blvd E, Niceville, FL 32578-1343 2020-10-28
1750998563 Brittney Engelbrecht Behavior Technician 80 College Blvd E, Niceville, FL 32578-1343 2020-09-25
1780290957 Laura Ayotte Behavior Technician 1728 Lilaberry Ln, Niceville, FL 32578-8740 2020-09-22
1104432053 Olivia Victor Behavior Technician 1728 Lilaberry Ln, Niceville, FL 32578-8740 2020-09-16
Find all providers in NICEVILLE

Competitor

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City NICEVILLE
Zip Code 32578

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Dataset Information

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.

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