Jordain Hailey Addis
Individual provider Active NPI Behavior Technician · Milford, OH
NPI 1497629117 · NPPES record last updated Oct 4, 2025
Key facts
- NPI
- 1497629117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 703 State Route 28
Milford, OH 45150-5021 - Phone
- (513) 587-8899
- NPI assigned
- Oct 4, 2025
- Sex
- Female
- 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
703 State Route 28
Milford, OH 45150-5021
Mailing address
3750 Marburg Ave
Cincinnati, OH 45209-2379
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 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.