JORDAN OTTO (NPI# 1669031894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669031894 |
| Entity Type | Individual |
| Full Name | JORDAN OTTO |
| Practice Address |
19800 Village Office Ct Ste 104 Bend OR 97702-1813 |
| Practice Telephone | 6103067054 |
| Mailing Telephone | 6103067054 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894301 | Jordan Leona Otto | Registered Nurse | 670 W Fireweed Ln Ste 160, Anchorage, AK 99503-2561 | 2017-07-24 |
| 1184152050 | Jordan Henry Otto | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2017-05-23 |
| Street Address |
19800 VILLAGE OFFICE CT STE 104 |
| City | BEND |
| State | OR |
| Zip Code | 97702-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467696989 | Jenny L Fischer | Behavioral Analyst | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2009-04-28 |
| 1821600651 | Emilee Dawson | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2020-08-21 |
| 1609418466 | Whitney Bushnell | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2019-10-14 |
| 1487208344 | Jacqueline Huchler | Behavioral Analyst | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2019-07-30 |
| 1952866162 | Samuel Alexander Gallup | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2019-02-01 |
| 1699246579 | Lindsey Taylore Hallam | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2018-12-17 |
| 1417423831 | Lauren Marie Crane | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2018-10-23 |
| 1992289219 | Melia Millican | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2018-09-21 |
| 1336623644 | Katherine Skilskyj | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2018-09-21 |
| 1396239638 | Erica Nicole Heuer | Assistant Behavior Analyst | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2018-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 1295334043 | Callista Perez | Behavioral Analyst | 2020 Ne Linnea Dr Apt 309, Bend, OR 97701-4975 | 2020-10-22 |
| 1306407002 | Alanna Ewert | Behavioral Analyst | 1550 Ne Williamson Blvd, Bend, OR 97701-6071 | 2019-06-24 |
| 1154808947 | Courtney Paige Montgomery | Behavioral Analyst | 300 Se Reed Market Rd Ste 155, Bend, OR 97702-2237 | 2018-07-24 |
| 1992188445 | Natasha Lauren Harrison | Behavioral Analyst | 593 Ne Azure Dr Ste 4, Bend, OR 97701-4883 | 2015-07-01 |
| 1194118489 | Janine Grund | Behavioral Analyst | 593 Ne Azure Dr, Bend, OR 97701-4882 | 2015-03-10 |
| 1558781864 | Eamon Campbell | Behavioral Analyst | 19800 Village Office Ct, 104, Bend, OR 97702-1872 | 2014-04-25 |
| 1598090516 | Mary Winfrey | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701 | 2009-10-08 |
| 1467696989 | Jenny L Fischer | Behavioral Analyst | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2009-04-28 |
| 1962019455 | Molly Alysabeth Mcconahy | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-09-28 |
| 1891334751 | Alecia Wright | Behavioral Analyst | 593 Ne Azure Dr Ste 4, Bend, OR 97701-4883 | 2019-12-24 |
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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.