Jordan Rose Deboy, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38674 Issued in IN

Practice address

451 S Park Ridge Rd Ste 102
Bloomington, IN 47401-8589

Phone

(317) 334-7331

Fax

(317) 334-7336

NPI assigned

May 8, 2019

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Unlocking the Spectrum

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1679895718
  NPD
• Unlocking the Spectrum Texas, LLC

  • Behavior Analyst
  • Spring, TX
  • NPI 1629432992
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1609431261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082658",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S PARK RIDGE RD STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018589",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3464 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024168",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 DuPont Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472741764",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8646 Guion Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462683011",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOY",
        "first_name": "JORDAN",
        "middle_name": "ROSE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-19-38674",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-17-33059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Deanna Dayhoff, LCSW
• Karmen Dayhuff, NP
• Molly McKelfresh Daywalt, LMHC
• Isabella De la Navarre, RBT
• Joseph Vincent De Spirito, OD
• David Debruicker
• Marjorie Debruyne, RD, CDE
• Brandy L. Deckard, O.D.
• Hillary Dee Deckard, OT
• Kelli Renee Deckard, LCSW

• Behavior Analyst in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.