Active NPI
Jordan Jones
- Behavior Technician
- Fort Worth, TX
National Provider Identifier
1346918034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-180224
- Practice address
- 6841 Cuculu Dr
Fort Worth, TX 76133-5872 - Phone
- (254) 447-1740
- NPI assigned
- Aug 30, 2021
- 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 Technician | 106S00000X | 21-180224 | TX | Primary |
Addresses
Primary practice location
6841 Cuculu Dr
Fort Worth, TX 76133-5872
Mailing address
4927 Lake Ridge Pkwy
Grand Prairie, TX 75052-3087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-180224 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1346918034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4927 LAKE RIDGE PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 CUCULU DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335872",
"telephone_number": "254-447-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "21-180224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.