Active NPI
Jayden O Mitchell
- Behavior Technician
- Cleveland, TN
National Provider Identifier
1740157379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1412260
- Practice address
- 3035 Barneys LN NE
Cleveland, TN 37323-5873 - Phone
- (678) 431-9912
- Fax
- (678) 431-9912
- NPI assigned
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1412260 | TN | Primary |
Addresses
Primary practice location
3035 Barneys LN NE
Cleveland, TN 37323-5873
Mailing address
3035 Barneys LN NE
Cleveland, TN 37323-5873
Phone (678) 431-9912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1412260 | TN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1740157379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 BARNEYS LN NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373235873",
"telephone_number": "678-431-9912",
"fax_number": "678-431-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 BARNEYS LN NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373235873",
"telephone_number": "678-431-9912",
"fax_number": "678-431-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JAYDEN",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "1412260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.