SAMUEL DECON JORDAN (NPI# 1407235021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407235021 |
| Entity Type | Individual |
| Full Name | SAMUEL DECON JORDAN |
| Credential | BCABA |
| Practice Address |
11311 Business Center Dr Suite C North Chesterfield VA 23236-3199 |
| Practice Telephone | 8043786141 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770931859 | Samuel Jordan | Community Health Worker | 1541 S Point Rd, Belmont, NC 28012-8544 | 2016-05-30 |
| 1447788716 | Samuel Jordan | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2017-05-31 |
| Street Address |
11311 BUSINESS CENTER DR SUITE C |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23236-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669729182 | Megan Erin Sullivan Kirby | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2012-08-15 |
| 1093223919 | Ashley Stover | Behavioral Analyst | 11311 Business Center Dr, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1548709447 | Bianca Whited | Behavioral Analyst | 11311 Business Center Dr, North Chesterfield, VA 23236-3199 | 2017-02-13 |
| 1619332772 | Alyssa Mellman | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2015-12-16 |
| 1194180273 | Mary Rachel Enoch | Behavioral Analyst | 11311 Business Center Dr, North Chesterfield, VA 23236-3199 | 2015-12-16 |
| 1912333485 | Matthew David White | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2013-09-17 |
| 1811322423 | Blair Brown | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2013-09-13 |
| 1093140196 | Frank Wilkins II | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2013-09-08 |
| 1194150441 | Jessica Blythe Starring | Behavioral Analyst | 11311 Business Center Dr, North Chesterfield, VA 23236-3199 | 2013-09-05 |
| 1669807053 | Crystal Marie Miller | Behavior Technician | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1134752892 | Michelle Bland | Mastectomy Fitter | 11533 Busy Street, Mailbox #307, N. Chesterfield, VA 23236 | 2020-02-20 |
| 1629610449 | Daniel John Lammon IIi | Behavioral Analyst | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2019-10-14 |
| 1932750320 | Carmelle A Roberts | Technician | 929 Meadowcreek Dr, North Chesterfield, VA 23236 | 2019-09-26 |
| 1386208163 | Mincey Enterprises Inc Dba Senior Helpers | Homemaker | 257 Wadsworth Drive, Richmond, VA 23236 | 2019-04-26 |
| 1306321591 | Katherine Gail Villacorta | Behavior Technician | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2018-10-03 |
| 1841713120 | Your Taxi, Inc. | Taxi | 9409 Hull Street Road, Suite F-2, North Chesterfield, VA 23236 | 2017-07-19 |
| 1790125987 | James River Home Health Care, LLC | Home Health | 9100 Arboretum Parkway, Ste 290, North Chesterfield, VA 23236 | 2013-07-02 |
| 1164779591 | Christian Thomsen | Military Health Care Provider | 2510 Camelback Road, Richmond, VA 23236 | 2012-08-03 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| Find all providers in zip 23236 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548731987 | Mary Christine Searls | Behavioral Analyst | 2532 Scarsborough Dr, North Chesterfield, VA 23235-2706 | 2018-12-11 |
| 1821509894 | Kara Ann Herring | Behavioral Analyst | 300 Arboretum Pl Ste 500, North Chesterfield, VA 23236-3473 | 2017-10-18 |
| 1639680952 | Jessica Calixto | Behavioral Analyst | 300 Arboretum Pl Ste 515, North Chesterfield, VA 23236-3482 | 2017-10-12 |
| 1720527518 | Global Clinical Group, LLC | Behavioral Analyst | 310 Turner Rd Ste P, North Chesterfield, VA 23225-6400 | 2017-02-14 |
| 1215307301 | Rcg Behavioral Health Network | Behavioral Analyst | 1905 Huguenot Rd, Suite 305, North Chesterfield, VA 23235-4312 | 2015-10-01 |
| 1982096434 | Tiffanie Ellis Johnson | Behavioral Analyst | 1905 Huguenot Rd Ste 305, North Chesterfield, VA 23235-4312 | 2015-02-20 |
| 1114369469 | Christine Marie Holland | Behavioral Analyst | 2302 N Den Bark Ct, North Chesterfield, VA 23235-6519 | 2013-07-26 |
| 1669729182 | Megan Erin Sullivan Kirby | Behavioral Analyst | 11311 Business Center Dr, Suite C, North Chesterfield, VA 23236-3199 | 2012-08-15 |
| 1174818652 | Adriana Pinilla Young | Behavioral Analyst | 9201 Arboretum Pkwy Ste 160, North Chesterfield, VA 23236-5402 | 2011-06-13 |
| 1174855985 | Spectrum Transformation Group, LLC | Behavioral Analyst | 221 Stonebridge Plaza Ave Ste C, North Chesterfield, VA 23225-6972 | 2010-02-03 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23236 |
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| 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.