Jordan Levi Wrightsman, RBT
Individual provider Active NPI Behavior Technician · Atlanta, IN
NPI 1366054520 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1366054520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-98092 (IN)
- Practice address
- 29101 N State Road 19
Atlanta, IN 46031-9443 - Phone
- (317) 918-6289
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-98092 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Behavioral Solutions LLC | Past |
Accepting new patients | |
| Stepping Stones Behavioral Solutions Downtown LLC. | Past |
Accepting new patients | |
| Hopebridge, LLC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-98092 | IN | Yes |
Addresses
Primary practice location
29101 N State Road 19
Atlanta, IN 46031-9443
Mailing address
7425 Westfield Blvd
Indianapolis, IN 46240-3056
Phone (317) 918-2698
Other providers in Atlanta, IN
- Stepping Stones Behavioral Solutions Atlanta
- Amy Stuber
- Shannon Renee Triplett
- Jami Lynn Warner
- Brenna Woodall
All providers in Atlanta, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.