Active NPI
Jordan Alexander Jackson
- Behavior Technician
- Vancouver, WA
National Provider Identifier
1427952092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 404 NE 117TH Ave # F45
Vancouver, WA 98684-5026 - Phone
- (360) 524-1000
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Sex
- Male
- 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 | WA | Primary |
Addresses
Primary practice location
404 NE 117TH Ave # F45
Vancouver, WA 98684-5026
Mailing address
996 Royal Marco Way FL 34145
Marco Island, FL 34145-1829
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": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1427952092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 ROYAL MARCO WAY FL 34145",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341451829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 NE 117TH AVE # F45",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845026",
"telephone_number": "360-524-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JORDAN",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.