JORDAN PAIGE KELLEY


Address: 1363 Douglas Dr, 104, Traverse City, MI 49696-8980
Phone: 2316684909

JORDAN PAIGE KELLEY (NPI# 1871034900) 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) 1871034900
Entity Type Individual
Full Name JORDAN PAIGE KELLEY
Practice Address 1363 Douglas Dr
104
Traverse City
MI 49696-8980
Practice Telephone 2316684909
Mailing Telephone 2316684909
Enumeration Date 2017-03-08
Last Update Date 2017-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician K 400 439 676 65 MI Behavioral Health & Social Service Providers

Other Providers JORDAN KELLEY

NPI Name Taxonomy Address Enumeration
1417490764 Jordan Kelley Specialist/Technologist 195 Academic Athletic Center, Morehead, KY 40351 2016-11-18
1891319398 Jordan Ray Kelley Student in an Organized Health Care Education/Training Program 716 Stevens Ave, Portland, ME 04103-2693 2020-06-01
1437792066 Jordan Getman Kelley Physical Therapist 185 Harrison Ave, Boston, MA 02111-1804 2019-10-27
1144784901 Jordan M Kelley Behavior Technician 3361 36th St Se, Kentwood, MI 49512-2809 2019-01-25
1811429467 Jordan Kelley Student in an Organized Health Care Education/Training Program 800 Rose St, Room H110, Lexington, KY 40536-0293 2017-04-03

Office Location

Street Address 1363 DOUGLAS DR
104
City TRAVERSE CITY
State MI
Zip Code 49696-8980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770831661 Bryan James Parshall Physical Therapist 1363 Douglas Dr, Suite 104 B, Traverse City, MI 49696-8980 2012-08-27
1659832269 Hunter Wagner Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2019-03-27
1891269015 Marisa Lynne Martlock Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2019-01-22
1841766060 Hannah Samaan Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-10-15
1629552948 Holly Ann-marie King Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-09-21
1912481433 Nicole Marie Lucas Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-09-20
1891278255 Jennie Marie Wingo Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-09-12
1124500095 Samantha Jo Parker Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-09-06
1194205971 Danielle Cathryn Korbinski Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-08-21
1699255182 Kati Lynn Komorosky Behavior Technician 1363 Douglas Dr, Traverse City, MI 49696-8980 2018-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669965901 Audrey Jo Cornell Behavior Technician 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 2018-06-12
1972026680 Stacey Lesnick Beyer Occupational Therapist 1810 Chartwell Dr., Traverse City, MI 49696 2017-07-25
1821527359 James Harper Day Training, Developmentally Disabled Services 1364 Alexander Dr., Traverse City, MI 49696 2017-06-08
1407383490 Cassandra Mccarty Behavior Technician 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 2017-05-22
1346776317 Kaitlynd Hamstra Behavior Technician 304 Christina Lane, Traverse City, MI 49696 2017-05-11
1831526748 Helena Kay Evans Home Health Aide 176 Island View Dr., Traverse, MI 49696 2013-10-09
1932543295 Quality Elder Care L.L.C. In Home Supportive Care 2141 Blackforest Ln, Traverse, MI 49696 2013-04-17
1134462195 Tc Chiropractic PC Chiropractor 1000 3 Mile Road, Traverse City, MI 49696 2013-03-28
1295755122 Northwest Senior Resources Incorporated Case Management 1609 Park Dr, Traverse City, MI 49696-5946 2006-07-21
1346744919 Laura Lynn Hayes Occupational Therapist 2119 Black Forest Ln, Traverse City, MI 49696-8165 2018-03-20
Find all providers in zip 49696

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
1205443686 Janelle See Behavior Technician 10781 E Cherry Bend Rd, Traverse City, MI 49684-5249 2020-09-29
1619585924 Christine Twietmeyer Behavior Technician 3881 Paddock Dr, Traverse City, MI 49685-8767 2020-07-22
1588281695 Carly Overmire Behavior Technician 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 2020-07-06
1386269181 Kara Rickenberg Behavior Technician 5802 Joanne Ct, Traverse City, MI 49685-8650 2020-06-08
1689207821 Suzanne M Threet Behavior Technician 4855 Waldon Cir, Traverse City, MI 49685-8915 2020-02-17
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1073159109 Ashleigh Marlene Cole Behavior Technician 10262 Timber Meadows Dr, Traverse City, MI 49685-7002 2019-11-25
1376184648 Sherri Ann Bourgeois Behavior Technician 1520 Eastbriar, Traverse City, MI 49696-9125 2019-10-08
1942781901 Alexandrea Marie Dickinson Behavior Technician 1363 Douglas Dr Ste 21f, Traverse City, MI 49696-8980 2018-08-27
1689168510 Ray Andrew Wilson Behavior Technician 1363 Douglas Dr Ste 110, Traverse City, MI 49696-8980 2018-06-14
Find all providers in TRAVERSE CITY

Competitor

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City TRAVERSE CITY
Zip Code 49696

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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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