ELIZABETH JORDAN


Address: 3336 Talbot St, San Diego, CA 92106-2944
Phone: 9097021449

ELIZABETH JORDAN (NPI# 1538556535) 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) 1538556535
Entity Type Individual
Full Name ELIZABETH JORDAN
Credential MA, BCBA
Practice Address 3336 Talbot St
San Diego
CA 92106-2944
Mailing Address 3336 Talbot Street
San Diego
CA 92106
Practice Telephone 9097021449
Mailing Telephone 9097021449
Enumeration Date 2015-04-17
Last Update Date 2015-04-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 11417479 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 3336 TALBOT ST
City SAN DIEGO
State CA
Zip Code 92106-2944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477932663 Amanda Sheffield Behavioral Analyst 3336 Talbot St, San Diego, CA 92106-2944 2015-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650300 Ktre1, LLC Assisted Living Facility 3219 Canon St., San Diego, CA 92106 2019-07-03
1093289910 Ahsha Smith Occupational Therapist 2026 Roosevelt Road, #105, San Diego, CA 92106 2019-01-14
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1992123285 Mark Wilson Occupational Therapist 2820 Roosevelt Road Ste 105, San Diego, CA 92106 2014-04-03
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1588991145 Philip Charles Rumsey Dentist 1050 Rosecrans St., Suite J, San Diego, CA 92106 2009-11-03
1801024575 David Michael Spera Dentist 1050 Rosecrans, #j, San Diego, CA 92106 2009-07-01
1548408834 Dolores Sanchez Pullen Counselor 1360 Rosecrans Street, Suite I, San Diego, CA 92106 2009-01-26
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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Competitor

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City SAN DIEGO
Zip Code 92106

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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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