NPIMap

Individual provider Active NPI

Jordan Turley, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1124534326
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44960 Issued in CO
Practice address
8670 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7457
Phone
(725) 202-1497
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0375 NV
Behavior Analyst 103K00000X 1-20-44960 CO Primary
Behavior Technician 106S00000X 15-04512 CO

Addresses

Primary practice location

8670 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7457

Mailing address

4440 Stardusk Falls Ave
North Las Vegas, NV 89084-4722
Phone (720) 985-4350

Other practice location 1

1200 W South Boulder Rd Ste 204
Lafayette, CO 80026-2833
Phone (720) 837-2348

Other names 1

  • Jordan Fisher Former name

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

LicenseStateTypeSpecialty
LBA0375NVMDBehavioral Analyst
15-04512COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcolor Autism LLC Behavior Analyst Past Accepting new patients
Behavior Services of the Rockies Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1124534326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 STARDUSK FALLS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844722",
            "telephone_number": "720-985-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "725-202-1497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W South Boulder Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262833",
            "country_code": "US",
            "telephone_number": "720-837-2348",
            "fax_number": "303-554-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "JORDAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2021-03-23",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0375",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-44960",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "15-04512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "FISHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.