Active NPI
Jordan Lynn Fuselier, BCBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1124679535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5307 Airport Blvd Ste C
Austin, TX 78751-2258 - Phone
- (888) 754-0398
- NPI assigned
- Sep 26, 2019
- 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 | Primary |
Addresses
Primary practice location
5307 Airport Blvd Ste C
Austin, TX 78751-2258
Mailing address
5307 Airport Blvd Ste C
Austin, TX 78751-2258
Phone (888) 754-0398
Other practice location 1
16538 N May Ave
Edmond, OK 73012-9007
Phone (405) 253-0071 ext. 733
Other practice location 2
2240 36th Ave NW Ste 100
Norman, OK 73072-3251
Phone (405) 253-0071 ext. 733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-37583 | Other | BOARD CERTIFIED BEHAVIOR ANALYST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfuselier@aimclinics.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1124679535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 AIRPORT BLVD STE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512258",
"telephone_number": "888-754-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 AIRPORT BLVD STE C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512258",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [
{
"address_1": "16538 N May Ave",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730129007",
"country_code": "US",
"telephone_number": "405-253-0071 x733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2240 36th Ave NW Ste 100",
"address_purpose": "LOCATION",
"city": "Norman",
"state": "OK",
"postal_code": "730723251",
"country_code": "US",
"telephone_number": "405-253-0071 x733",
"fax_number": "877-866-6152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSELIER",
"first_name": "JORDAN",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2021-06-25",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-19-37583",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfuselier@aimclinics.com",
"affiliation": "N",
"address_1": "2240 36th Ave NW Ste 100",
"city": "Norman",
"state": "OK",
"country_code": "US",
"postal_code": "730723251",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.