Active NPI
Jordan Culpepper
- Behavior Analyst
- Lutz, FL
National Provider Identifier
1801250097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-70859
- Practice address
- 18288 N US Highway 41
Lutz, FL 33549-4400 - Phone
- (813) 527-9638
- NPI assigned
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-20-11069 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-20-11069 | FL | |
| Behavior Technician | 106S00000X | RBT-16-21431 | FL | |
| Behavior Analyst | 103K00000X | 1-24-70859 | FL | Primary |
Addresses
Primary practice location
18288 N US Highway 41
Lutz, FL 33549-4400
Mailing address
166 Fairmont Dr
Spring Hill, FL 34609-2048
Phone (407) 280-1220
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 |
|---|---|---|---|
| RBT-16-21431 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieveability Therapy Services | Current | Accepting new patients | |
| Achieveability Therapy Services | Behavior Analyst | Current | Accepting new patients |
Locations
18288 N US Highway 41
Lutz, FL 33549
Phone (813) 527-9638
2604 Cypress Ridge Blvd
Ste 101
Wesley Chapel, FL 33544
Phone (813) 527-6638
Organizations & group practices 2
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.
-
- Clinic/Center
- Lutz, FL
- NPI 1467294355
-
- Community/Behavioral Health Agency
- Lutz, FL
- NPI 1619398385
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1801250097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 FAIRMONT DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092048",
"telephone_number": "407-280-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18288 N US HIGHWAY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494400",
"telephone_number": "813-527-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2024-02-09",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-20-11069",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-20-11069",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-16-21431",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-70859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.