Individual provider Active NPI

Jordan Teana Hicks

  • Behavior Technician
  • Lagrange, GA
National Provider Identifier
1326947672
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-2866106 Issued in GA
Practice address
316 N Lewis St
Lagrange, GA 30240-2740
Phone
(813) 438-6796
NPI assigned
Nov 3, 2026
Last updated
Nov 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-26-2866106 GA Primary

Addresses

Primary practice location

316 N Lewis St
Lagrange, GA 30240-2740

Mailing address

1202 Tech Blvd Ste 103
Tampa, FL 33619-7863
Phone (813) 438-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1326947672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197863",
            "telephone_number": "813-438-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402740",
            "telephone_number": "813-438-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JORDAN",
        "middle_name": "TEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-26-2866106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.