Active NPI
Jordyn Ives, BCBA
- Behavior Analyst
- Edmond, OK
National Provider Identifier
1073392494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-2845391
- Practice address
- 501 S Coltrane Rd Ste a
Edmond, OK 73034-6729 - Phone
- (405) 434-3052
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-26-2845391 | OK | Primary |
Addresses
Primary practice location
501 S Coltrane Rd Ste a
Edmond, OK 73034-6729
Mailing address
2021 E Rock Creek Rd
Tuttle, OK 73089-8757
Phone (405) 434-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-299711 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1073392494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E ROCK CREEK RD",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898757",
"telephone_number": "405-434-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S COLTRANE RD STE A",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346729",
"telephone_number": "405-434-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVES",
"first_name": "JORDYN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-26-2845391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.