Jordan Templin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33882 Issued in NC

Practice address

8402 Six Forks Rd
Raleigh, NC 27615-3070

Phone

(919) 429-8338

NPI assigned

Oct 27, 2016

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

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1679025407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 KELVINGTON PL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153070",
            "telephone_number": "919-429-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Oberlin Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051345",
            "country_code": "US",
            "telephone_number": "919-743-0204",
            "fax_number": "919-743-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLIN",
        "first_name": "JORDAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-18-33882",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-16-24203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Tellez Pacheco, DDS
• Stacy M Telloni, MD
• Tellos, Inc.
• Boris Temkin
• Christopher Michael Templeton
• Tend Therapy, PLLC
• Tender Touch FCH LLC
• Tender Touch FCH LLC
• Erin Tenney, PHARMD, RPH
• Kayla Tenny

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.