JORDAN NICOLE SMITH (NPI# 1760934798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760934798 |
| Entity Type | Individual |
| Full Name | JORDAN NICOLE SMITH |
| Practice Address |
150 W University Blvd Melbourne FL 32901 |
| Mailing Address |
1855 W Hibiscus Blvd Melbourne FL 32901-2622 |
| Practice Telephone | 3216748106 |
| Mailing Telephone | 3213723813 |
| Mailing Fax Number | 3217656434 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-32453 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| Street Address |
150 W UNIVERSITY BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1124632328 | Maasa Nishimuta | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-09-04 |
| 1861005548 | Blake Churchman | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-24 |
| 1780296996 | Bailey Bauman | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-19 |
| 1245842749 | Soray Nicole Castro | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-18 |
| 1932710589 | Haley Nicole Harber | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1841801495 | Kailey Taylor Cravo | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-16 |
| 1083225155 | Eliza Jane Goben | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1811508955 | Shauna Marie Blady | Behavior Technician | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-08-12 |
| 1609408244 | Autumn Grant | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1760029433 | Cresta Marshall | Behavior Technician | 3646 Mount Carmel Ln, Melbourne, FL 32901-6704 | 2019-12-02 |
| 1427614312 | Dereck Householder | Behavior Technician | 2643 Lowell Cir, Melbourne, FL 32935-2216 | 2019-05-15 |
| 1972062149 | Marissa Kamlowsky | Behavior Technician | 3790 Dairy Rd, Melbourne, FL 32904-7630 | 2019-03-18 |
| 1427514751 | Madelynn Marie Palmer | Behavior Technician | 5500 Murrell Rd Ste 1000, Melbourne, FL 32940-6700 | 2019-02-12 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1801326822 | Hannah Catherine Smith | Behavior Technician | 5500 Murrell Rd # 100, Melbourne, FL 32940-6700 | 2017-06-13 |
| 1558802298 | Jordan Tonos | Behavior Technician | 5500 Murrell Road, Suite 100, Melbourne, FL 32940-6826 | 2017-03-14 |
| 1932649050 | Deborah Toscano | Behavior Technician | 2271 Hampton Greens Blvd, Apt 101, Melbourne, FL 32935-5628 | 2017-03-08 |
| Find all providers in MELBOURNE | ||||
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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.