Jordan Bailey
Individual provider Active NPI Behavior Technician · Jackson, MS
NPI 1033074356 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1033074356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 962 North St
Jackson, MS 39202-2614 - Phone
- (769) 235-8278
- NPI assigned
- Dec 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usdr Behavioral Specialists | Behavior Technician | Current |
Accepting new patients |
Locations
962 North St
Jackson, MS 39202
Phone (769) 235-8278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MS | Yes |
Addresses
Primary practice location
962 North St
Jackson, MS 39202-2614
Mailing address
962 North St
Jackson, MS 39202-2614
NPI Registry JSON
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1033074356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 NORTH ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 NORTH ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022614",
"telephone_number": "769-235-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
- Harris R. Baig
- Jewelian Akbar Baig
- Ashley Wroten Bailey
- Cynthia Bailey
- James Williams Bailey
- Kearston Bailey
- Kendrick Denard Bailey
- Kenneth Anthony Bailey Jr.
- Mary Sheree Bailey
- Nekee Noelle Bailey
All providers in Jackson, MS · Behavior Technician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.