Jordan Grace Alley
Individual provider Active NPI Behavior Analyst · Santa Clara, CA
NPI 1104317023 · NPPES record last updated May 26, 2018
Key facts
- NPI
- 1104317023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1171 Homestead Rd
#250
Santa Clara, CA 95050-5485 - Phone
- (510) 268-8120
- NPI assigned
- May 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1171 Homestead Rd
#250
Santa Clara, CA 95050-5485
Mailing address
350 Budd Ave Apt H1
Campbell, CA 95008-4013
Phone (408) 455-1097
Other providers in Santa Clara, CA
- Aisha Ali
- Shabnam Alizada
- Shannon Elizabeth Allard
- Michelle Yvette Allee
- Hannah Rose Allen
- Alliance Occupational Medicine
- Samuel Joseph Allmon
- Ally Mobility
- Ally Mobility LLC
- Rasheeda N. Ally
All providers in Santa Clara, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2018. 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.