Jordan L Williams, CBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6021 244TH St SW Ste 400
Mountlake Terrace, WA 98043-5426

Phone

(425) 245-9940

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Maxim Healthcare Services Inc.

  • Community/Behavioral Health Agency
  • Mountlake Terrace, WA
  • NPI 1477051993
  NPD (past)
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1932206380
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1225513419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MERRILL CREEK PKWY APT C401",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035883",
            "telephone_number": "253-334-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 244TH ST SW STE 400",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435426",
            "telephone_number": "425-245-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JORDAN",
        "middle_name": "L",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April K. Whiteman, MASSAGE THERAPIST
• Craig Frank Whitfield, PA-C
• Leah T Whittaker, PHARMACY TECHNICIAN
• Frances Lang Wilder, MA, LMHC
• Willamette Dental Group, P.C.
• Latia Williams, B.A
• Ashanti Wilson
• Rachael Wilson
• Tiffany Marie Wilson, LM, CPM
• Kathy Sue Wind, LMHC

• Behavior Analyst in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.