Jordyn Cox

Individual provider Active NPI Behavior Technician · West Monroe, LA

NPI 1548083876 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1548083876
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
R-17126 (LA)
Practice address
628 Commercial Pkwy Ste 2
West Monroe, LA 71292-8062
Phone
(318) 245-4113
Fax
(318) 588-8909
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R-17126LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Train Past
since Nov 10, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X R-17126 LA Yes

Addresses

Primary practice location

628 Commercial Pkwy Ste 2
West Monroe, LA 71292-8062

Mailing address

PO Box 1823
West Monroe, LA 71294-1823
Phone (318) 588-8908

Other identifiers

IdentifierTypeStateIssuer
RBT-24-344866OtherBACB

Other names

  • Jordyn Walker Former name

Other providers in West Monroe, LA

All providers in West Monroe, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.