Individual provider Active NPI

Jordan Parker Cossey, RBT

  • Behavior Technician
  • Manchester, NH
National Provider Identifier
1366014029
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-97455 Issued in NH
Practice address
265 Edward J Roy Dr Unit 122
Manchester, NH 03104-4163
Phone
(662) 907-9980
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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-19-97455 NH Primary

Addresses

Primary practice location

265 Edward J Roy Dr Unit 122
Manchester, NH 03104-4163

Mailing address

265 Edward J Roy Dr Unit 122
Manchester, NH 03104-4163
Phone (662) 907-9980

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

LicenseStateTypeSpecialty
RBT-19-97455NHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1366014029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EDWARD J ROY DR UNIT 122",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044163",
            "telephone_number": "662-907-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EDWARD J ROY DR UNIT 122",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044163",
            "telephone_number": "662-907-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSEY",
        "first_name": "JORDAN",
        "middle_name": "PARKER",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NH",
            "license": "RBT-19-97455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.