Individual provider Active NPI

Jakayla Danasia Jourdain-Toliver

  • Behavior Technician
  • Indianapolis, IN
National Provider Identifier
1437044757
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-382969 Issued in IN
Practice address
4732 N Bolton Ave
Indianapolis, IN 46226-2405
Phone
(317) 590-2763
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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-24-382969 IN Primary

Addresses

Primary practice location

4732 N Bolton Ave
Indianapolis, IN 46226-2405

Mailing address

4732 N Bolton Ave
Indianapolis, IN 46226-2405
Phone (317) 590-2763

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-24-382969INMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1437044757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 N BOLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462262405",
            "telephone_number": "317-590-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N BOLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462262405",
            "telephone_number": "317-590-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURDAIN-TOLIVER",
        "first_name": "JAKAYLA",
        "middle_name": "DANASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-382969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.