Individual provider Active NPI

Chris Jordan, BCBA, LBA

  • Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1740855337
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001998 Issued in VA
Practice address
1464 Mount Pleasant Rd
Chesapeake, VA 23322-4043
Phone
(757) 447-0883
Fax
(757) 792-8438
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001998 VA Primary

Addresses

Primary practice location

1464 Mount Pleasant Rd
Chesapeake, VA 23322-4043

Mailing address

2280 Brownshire TRL
Virginia Beach, VA 23456-5286
Phone (757) 447-0883

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Licensed Behavior Analysis Behavior Analyst CurrentSince Apr 1, 2022 Accepting new patients

Locations

1464 Mount Pleasant Rd
Chesapeake, VA 23322
Phone (757) 217-4036

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1740855337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 BROWNSHIRE TRL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234565286",
            "telephone_number": "757-447-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MOUNT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224043",
            "telephone_number": "757-447-0883",
            "fax_number": "757-792-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHRIS",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.