Jordan Tara Marie Megles, BA, IIS, DSP, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB478372 Issued in KS

Practice address

1337 S Fountain Dr
Olathe, KS 66061-7205

Phone

(913) 940-0597

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1962015495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S FOUNTAIN DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617205",
            "telephone_number": "913-940-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S FOUNTAIN DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617205",
            "telephone_number": "913-940-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGLES",
        "first_name": "JORDAN TARA",
        "middle_name": "MARIE",
        "credential": "BA, IIS, DSP, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "NEFE92EA",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "BACB478372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Mealman, D.C.
• Joanna Claire Meats, O.D.
• Med-Care Medical Incorporated
• Elva M Medina, LPC
• Kathryn Alisa Megee, LMSW
• Shauna Marie Meier, LSCSW
• Todd J Mekles
• Habtamu Mekuria
• Melinda Alleyne
• Amanda Jean Mellenbruch, LMSW

• Behavior Technician in Olathe, KS
• Providers in Olathe, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.