Emma Jayme Jordan

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

4730 SE Belmont St Unit 2
Portland, OR 97215-1737

Phone

(772) 643-3339

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023626470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SE BELMONT ST UNIT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151737",
            "telephone_number": "772-643-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SE BELMONT ST UNIT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151737",
            "telephone_number": "772-643-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "EMMA",
        "middle_name": "JAYME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sharepoint.teampbs.com",
            "affiliation": "Y",
            "endpointDescription": "ABA Field login",
            "affiliationName": "Positive Behavior Supports Corporation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4730 SE Belmont St Unit 2",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972151737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Jordan
• Anthony Jordan, CADC II
• Brian Kirk Jordan, MD, PHD
• Brittany Jordan
• Donita L Jordan, MA, MCFC
• Hanna A Jordan, LCSW
• Jennifer Michelle Jordan, PHARMD
• Joseph Leonardo Jordan, LMT
• Kellie Jean Jordan
• Kelly Lynn Jordan, LMT

• Assistant Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Assistant Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.