Jordan Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1800 Sutter St Ste 300
Concord, CA 94520-2556

Phone

(877) 264-6747

NPI assigned

Mar 17, 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

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1669931911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 89TH ST STE 306",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SUTTER ST STE 300",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202556",
            "telephone_number": "877-264-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Lone Tree Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318644",
            "country_code": "US",
            "telephone_number": "925-462-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Smith, B.A.
• Jada Sidney Smith
• Jahquece Deona Smith
• Jasmine Olivia Smith
• Jeremiah Smith
• Kelress Michelle Smith
• Khalil Daniel Smith
• Lionna Danielle Smith
• Mariana Zoe Smith
• Micah Isaac Smith

• Behavior Technician in Concord, CA
• Providers in Concord, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.