Jordan Paige Brown

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8282 28TH CT NE Ste a
Lacey, WA 98516-7162

Phone

(360) 915-6868

NPI assigned

Jun 4, 2019

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basics Northwest

  • Community/Behavioral Health Agency
  • Lacey, WA
  • NPI 1396179545
  NPD (past)
• Kids Overcoming, LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1730426420
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1528626504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MCKINLEY ST NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166289",
            "telephone_number": "510-516-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167162",
            "telephone_number": "360-915-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 The Alameda Ste 425",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951261453",
            "country_code": "US",
            "telephone_number": "510-679-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 McKinley St NE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985166289",
            "country_code": "US",
            "telephone_number": "510-516-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JORDAN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Brooling
• Kylie Broome, PHARM D
• Broughton Dunn PLLC
• Arrie Jeanine Brown
• Jesse James Brown
• Mandie Michelle Brown, ARNP
• Sashi Brown
• Sha' Vonna Brown
• Simone Elizabeth Brown, NP
• Stephanie Jo Brown, SUDPT

• Behavior Technician in Lacey, WA
• Providers in Lacey, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.