JORDAN TAYLOR (NPI# 1114559465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114559465 |
| Entity Type | Individual |
| Full Name | JORDAN TAYLOR |
| Practice Address |
4100 S Ferdon Blvd Crestview FL 32536-5252 |
| Practice Telephone | 8503626824 |
| Mailing Telephone | 8503626824 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-111869 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466297 | Jordan Daniel Taylor | Student in an Organized Health Care Education/Training Program | 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 | 2020-04-21 |
| 1538544606 | Jordan Taylor | Physical Therapist | 15351 Highway 5 Apt 117, Cabot, AR 72023-5130 | 2015-07-29 |
| 1932692530 | Jordan Allen Taylor | Dentist | 4610 North St Ste 101, Nacogdoches, TX 75965-1841 | 2018-06-08 |
| 1932603867 | Jordan Taylor | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153 | 2018-03-23 |
| 1649783705 | Jordan Brush Taylor | Registered Nurse | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2017-11-13 |
| 1316471410 | Jordan Taylor | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2017-04-14 |
| 1578958575 | Jordan Taylor | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2015-04-06 |
| 1710377239 | Jordan Nichole Taylor | Case Manager/Care Coordinator | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2015-02-04 |
| 1730594201 | Jordan H Taylor | Dentist | 309 Louisa St, Warrior, AL 35180-1448 | 2014-06-24 |
| 1861775694 | Jordan Taylor | Registered Nurse | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2011-09-28 |
| Street Address |
4100 S FERDON BLVD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316996713 | Prime Therapy Inc | Physical Therapist | 4100 S Ferdon Blvd, Ste A1, Crestview, FL 32536-5252 | 2006-05-10 |
| 1538710108 | Aubree A Davis | Behavior Technician | 4100 S Ferdon Blvd, Crestview, FL 32536-5252 | 2019-09-25 |
| 1396396495 | Desiray Lavon Greer | Behavior Technician | 4100 S Ferdon Blvd, Crestview, FL 32536-5252 | 2019-09-20 |
| 1154867554 | Cabana Eyes Optical | Clinic/Center | 4100 S Ferdon Blvd, Suite B5, Crestview, FL 32536-5252 | 2017-01-10 |
| 1184013385 | Allison Rivers | Speech-Language Pathologist | 4100 S Ferdon Blvd, Crestview, FL 32536-5252 | 2015-01-12 |
| 1821409228 | Nikki Leigh Justice | Speech-Language Pathologist | 4100 S Ferdon Blvd, Suite C1, Crestview, FL 32536-5252 | 2014-05-20 |
| 1770834988 | Courtney Celeste Miller | Occupational Therapist | 4100 S Ferdon Blvd, Crestview, FL 32536-5252 | 2012-09-27 |
| 1710271374 | Triple E Ot Inc | Occupational Therapist | 4100 S Ferdon Blvd, Suite C1, Crestview, FL 32536-5252 | 2011-06-01 |
| 1588958276 | Tonie Lyn Allen | Occupational Therapist | 4100 S Ferdon Blvd, Suite C1, Crestview, FL 32536-5252 | 2011-05-31 |
| 1013213057 | Jessica Ann Gibson | Advanced Practice Midwife | 4100 S Ferdon Blvd, Suite A4, Crestview, FL 32536-5252 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670140 | Josh Gage Stapp | Behavior Technician | 416 Garden St, Crestview, FL 32536-1754 | 2020-05-15 |
| 1407490592 | Katheryn Kelly Young | Behavior Technician | 416 Garden St Ste B, Crestview, FL 32536-1755 | 2019-10-31 |
| 1962043380 | Caitline Michele Edge | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2019-10-07 |
| 1821653114 | Briana Turner | Behavior Technician | 1000 Patriot Ln Apt 122, Crestview, FL 32539-7404 | 2019-05-02 |
| 1790254035 | Raini Hill | Behavior Technician | 1215 Lexie Dr, Crestview, FL 32536-4203 | 2018-11-15 |
| 1093222531 | Laci Collinsworth | Behavior Technician | 851 N Wilson St, Crestview, FL 32536-2639 | 2018-01-05 |
| 1952836512 | Jenilyn Troost | Behavior Technician | 2628 Paddock Cir, Crestview, FL 32536-4359 | 2017-04-20 |
| 1942650411 | Guinevere Crystal Herrin | Behavior Technician | 575 Brookmeade Dr, Crestview, FL 32539-6029 | 2016-06-15 |
| 1053937300 | Kathryn N Parker | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-23 |
| 1821613365 | Alyssa Mychaela Weekley | Behavior Technician | 128 John King Rd Ste 18, Crestview, FL 32539-5731 | 2020-06-10 |
| Find all providers in CRESTVIEW | ||||
Please comment or provide details below to improve the information on JORDAN TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.