Active NPI
Jordan Stifle
- Behavior Analyst
- Elk Grove, CA
National Provider Identifier
1770104721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9355 E Stockton Blvd Ste 185
Elk Grove, CA 95624-9476 - Phone
- (916) 683-1110
- NPI assigned
- Apr 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary | |
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
9355 E Stockton Blvd Ste 185
Elk Grove, CA 95624-9476
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Other practice location 1
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone (866) 530-5601
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1770104721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 UNION BLVD STE 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9355 E STOCKTON BLVD STE 185",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249476",
"telephone_number": "916-683-1110"
}
],
"practiceLocations": [
{
"address_1": "1811 Grand Canal Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952078107",
"country_code": "US",
"telephone_number": "866-530-5601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIFLE",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.