Individual provider Active NPI

Jordan Michelle Hannan

  • Day Training/Habilitation Specialist
  • Garden Grove, CA
National Provider Identifier
1942928080
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
12443 Lewis St Ste 201
Garden Grove, CA 92840-4650
Phone
(714) 748-4440
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Day Training/Habilitation Specialist 373H00000X Primary

Addresses

Primary practice location

12443 Lewis St Ste 201
Garden Grove, CA 92840-4650

Mailing address

4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 221-1680

Other practice location 1

4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 221-1680

Other identifiers 1

IdentifierTypeStateIssuer
106S00000XMedicaidCA

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1942928080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W FIGARDEN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226051",
            "telephone_number": "559-221-1680",
            "fax_number": "559-221-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 LEWIS ST STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404650",
            "telephone_number": "714-748-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 W Figarden Dr",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937226051",
            "country_code": "US",
            "telephone_number": "559-221-1680",
            "fax_number": "559-221-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "JORDAN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106S00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.