Individual provider Active NPI

Labretha Jordan

  • Behavior Technician
  • Mesquite, TX
National Provider Identifier
1154069326
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2823 Riverbrook Cir
Mesquite, TX 75181-4261
Phone
(214) 543-3740
Fax
(469) 436-3891
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

2823 Riverbrook Cir
Mesquite, TX 75181-4261

Mailing address

2823 Riverbrook Cir
Mesquite, TX 75181-4261
Phone (214) 543-3740

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://app.portiapro Direct D&L ABA theaphy & Educational Solution
Other URL https://app.portiapro Direct D&L ABA theaphy & Educational Solution

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

Practice roles

OrganizationSpecialtyStatusNew patients
D&L ABA Therapy and Educational Solutions Single Specialty CurrentSince May 29, 2022 Accepting new patients

Organizations & group practices 1

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1154069326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 RIVERBROOK CIR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814261",
            "telephone_number": "214-543-3740",
            "fax_number": "469-436-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 RIVERBROOK CIR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814261",
            "telephone_number": "214-543-3740",
            "fax_number": "469-436-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LABRETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.portiapro",
            "affiliation": "Y",
            "endpointDescription": "electronic",
            "affiliationName": "D&L ABA theaphy & Educational Solution",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "2823 Riverbrook Cir",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751814261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.portiapro",
            "affiliation": "Y",
            "endpointDescription": "electronic",
            "affiliationName": "D&L ABA theaphy & Educational Solution",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "2823 Riverbrook Cir",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751814261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.