Jordache Starr, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10322092-2506 Issued in UT

Practice address

2299 E Horizon Dr
Eagle Mountain, UT 84005-6292

Phone

(801) 651-0566

Fax

(801) 651-0566

NPI assigned

May 25, 2017

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

Other names 1

• Jordache Leiker Former name

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1699203398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 E HORIZON DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056292",
            "telephone_number": "801-651-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 E HORIZON DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056292",
            "telephone_number": "801-651-0566",
            "fax_number": "801-651-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "JORDACHE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "10322092-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDACHE",
            "last_name": "LEIKER",
            "credential": "BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dennis Earl Stevens, LCSW
• Kyle Stewart
• Gabrielle Stoddard, LCSW

• Behavior Analyst in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.