Jordan Rudat

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044

Phone

(301) 444-5001

NPI assigned

Sep 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1063299659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TOWER OAKS BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524282",
            "telephone_number": "301-444-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "301-444-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 Farrar Ct",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232363679",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Tower Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524282",
            "country_code": "US",
            "telephone_number": "301-444-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDAT",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubino and Reynolds Psychology Group LLC
• Jade Tiu Rubino, PSY.D.
• Mark I Rubinstein, M.D.
• Laurentia Meade Ruby, PSY.D.
• Shelby Rucker, LCSW
• Erin Rudiak, MSN, APRN, FNP-C
• Yulia Rudnitsky, NURSE PRACTITIONER
• Wendy Leys Rudolph
• Harish Sitaram Rudra, D.O.
• Lisa Rueda, MSW

• Behavior Technician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.