Active NPI
Rooted Learning Behavioral Services
- Behavior Analyst
- Davenport, IA
National Provider Identifier
1174459994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ROOTED LEARNING BEHAVIORAL SERVICES
- Practice address
- 14136 115TH Ave
Davenport, IA 52804-9525 - Phone
- (847) 915-5320
- NPI assigned
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jordan A Creed, MS, BCBA
- Title
- Ceo, Bcba
- Phone
- (563) 508-5237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14136 115TH Ave
Davenport, IA 52804-9525
Mailing address
14136 115TH Ave
Davenport, IA 52804-9525
Phone (563) 508-5237
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Davenport, IA
- NPI 1053856724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1174459994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14136 115TH AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528049525",
"telephone_number": "563-508-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14136 115TH AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528049525",
"telephone_number": "847-915-5320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED LEARNING BEHAVIORAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-19",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "CREED",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO, BCBA",
"authorized_official_telephone_number": "563-508-5237",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.