Jordan Walls

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-344908 Issued in IL

Practice address

717 E 62ND St
Chicago, IL 60637-3269

Phone

(219) 419-8491

NPI assigned

Mar 10, 2026

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

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": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1902752017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E 62ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373269",
            "telephone_number": "219-419-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E 62ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373269",
            "telephone_number": "219-419-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "24-344908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinique Walls Castellanos
• Ashley Walls, RDN, LDN
• Cynthia A Walls, LCSW, PC
• Frances A. Walls, PSY.D.
• Gary B Walls, PH.D.
• Lanay Deniece Walls, LCSW
• Luther Walls, MD
• Nikita Walls
• Trinity Walls, NP
• Noah Samuel Walman, M.D.

• Behavior Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.