Jordan Rogers
Individual provider Active NPI Behavior Analyst · Daytona Beach, FL
NPI 1588201610 · NPPES record last updated May 26, 2024
Key facts
- NPI
- 1588201610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 622 Fremont Ave
Daytona Beach, FL 32114-6071 - Phone
- (732) 685-2991
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Ground Support | Behavior Analyst | Current |
Accepting new patients |
| All Therapies Support, Inc | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | FL | Yes |
Addresses
Primary practice location
622 Fremont Ave
Daytona Beach, FL 32114-6071
Mailing address
622 Fremont Ave
Daytona Beach, FL 32114-6071
Phone (732) 685-2991
Other providers in Daytona Beach, FL
- Subely Rodriguez
- Zuheily Christine Rodriguez
- Kathleen Rogan
- Amy A Rogers
- Joellen Salce Rogers
- Joy Rogers
- Patricia Rogers
- Christopher George Rohner
- Yajaira Rojas Torres
- Debra A Rome
All providers in Daytona Beach, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2024. 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.