Selena Jordan, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA #1084479 Issued in CA

Practice address

2918 Alanwood CT
Spring Valley, CA 91978-1974

Phone

(619) 944-2926

NPI assigned

Apr 16, 2009

Last updated

May 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1467695791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 ALANWOOD CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781974",
            "telephone_number": "619-944-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 ALANWOOD CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781974",
            "telephone_number": "619-944-2926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10065 Old Grove Rd",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311664",
            "country_code": "US",
            "telephone_number": "858-444-8823 x1220",
            "fax_number": "858-444-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SELENA",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-05-23",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA #1084479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.