JORDAN HARRISON (NPI# 1780246785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780246785 |
| Entity Type | Individual |
| Full Name | JORDAN HARRISON |
| Practice Address |
1239 Woodland Dr Elizabethtown KY 42701-2770 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5023585106 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| 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 |
|---|---|---|---|---|
| 1609490234 | Jordan Harrison | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2020-05-29 |
| 1851811806 | Jordan Daniel Harrison | Optometrist | 2829 E Oakland Ave Ste 1, Johnson City, TN 37601-1908 | 2017-06-21 |
| 1295289783 | Jordan Nicole Harrison | Physical Therapist | 16985 Nw Cornell Rd Ste 110, Beaverton, OR 97006-5639 | 2016-08-12 |
| 1295078442 | Jordan Harrison | Internal Medicine | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-05 |
| Street Address |
1239 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858539 | Ijaz Mahmood | Internal Medicine | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2005-11-16 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| 1700346665 | Tiffani Romayne Wallace | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-03-25 |
| 1881162428 | Kristina Marie Boshart | Behavioral Analyst | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1598233132 | Sandrea L Patterson | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1164970448 | Heartland Whole Brain Learning-pediatric & Adult Therapy LLC | Developmental Therapist | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2016-09-15 |
| 1922443480 | Etown Family Practice Plc | Clinic/Center | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2013-05-09 |
| 1114263100 | Wisdom Key Behavioral Health Services Inc | Nurse Practitioner | 1239 Woodland Dr, Suite 110, Elizabethtown, KY 42701-2770 | 2012-12-18 |
| 1609154442 | Ernest Lee Towns | Counselor | 1239 Woodland Dr, Suite 116, Elizabethtown, KY 42701-2770 | 2011-07-27 |
| 1780971846 | Sheryl L Hanawalt | Podiatrist | 1239 Woodland Dr, Suite 101, Elizabethtown, KY 42701-2770 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1174014039 | Jamie Whitmer | Behavior Technician | 401 N Miles St Ste B100, Elizabethtown, KY 42701-1834 | 2018-05-25 |
| 1225530900 | Sade Richards | Behavior Technician | 401 N Miles St Ste B&101b, Elizabethtown, KY 42701-1834 | 2018-03-08 |
| 1023518065 | Sarah Stults | Behavior Technician | 401 N Miles St Ste Band101b, Elizabethtown, KY 42701-1834 | 2018-02-16 |
| 1811495419 | Carolyn Crepps | Behavior Technician | 401 N Miles St Ste 100&101, Elizabethtown, KY 42701-1834 | 2018-01-29 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1508473455 | Andrea Tucker | Behavior Technician | 1239 Woodland Dr Ste 112, Elizabethtown, KY 42701-3723 | 2020-09-24 |
| 1194333989 | Bisma Baig | Behavior Technician | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2020-07-17 |
| 1235756198 | Paige A Klein | Behavior Technician | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2020-06-26 |
| 1598381998 | Carolyn M Ross | Behavior Technician | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2020-06-22 |
| 1033744198 | Meghan Hall | Behavior Technician | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2020-03-10 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.