Jahnessa Rayleen Cordova
Individual provider Active NPI Behavior Technician · Austin, MN
NPI 1497607642 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1497607642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1600 1St Ave NE
Austin, MN 55912-4502 - Phone
- (507) 292-1006
- NPI assigned
- Feb 11, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1600 1St Ave NE
Austin, MN 55912-4502
Mailing address
3101 Superior Dr NW
Rochester, MN 55901-1993
Other providers in Austin, MN
- Laura Ann Clemence
- Adam Sharp Cole
- Michael Cole
- Robert Lloyd Collier
- John Briggs Coppes
- Dylan Roy Davis Corneillie
- Cathy Corrales
- Gwyneth Cortez
- County of Mower
- County of Mower
All providers in Austin, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. 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.