JORDAN MAKENZIE STEPHENSON (NPI# 1942801550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942801550 |
| Entity Type | Individual |
| Full Name | JORDAN MAKENZIE STEPHENSON |
| Practice Address |
4908 S Sheridan Rd Tulsa OK 74145-5712 |
| Practice Telephone | 9189849153 |
| Practice Fax Number | 9182840579 |
| Mailing Telephone | 9189849153 |
| Mailing Fax Number | 9182840579 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457888455 | Jordan Stephenson | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2017-05-22 |
| Street Address |
4908 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983409 | Spectrum of Hope, LLC | Dietitian, Registered | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2017-10-19 |
| 1316546815 | Rachel Gray | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-26 |
| 1497354997 | Angel Manuel Herrera | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-26 |
| 1760081178 | Remy Manghum | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-19 |
| 1013515832 | Tiffany Jo Jones | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-14 |
| 1558969634 | Calisa Zoe Goldman | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1376141457 | Mathew Tyler Grant | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1003414194 | Blake Davis | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-12 |
| 1184221269 | Emmanuel Adesokan | Behavior Technician | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-10-02 |
| 1275140592 | Emily Jordan Ernst | Occupational Therapist | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2020-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
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| 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 |
|---|---|---|---|---|
| 1730780792 | Baylee Marie Hicks | Behavior Technician | 4515 E 91st St # 201, Tulsa, OK 74137-2810 | 2020-11-05 |
| 1376152116 | Faris Roberts | Behavior Technician | 8336 S 77th East Ave Apt 1219, Tulsa, OK 74133-3931 | 2020-07-28 |
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1558994723 | Janet Bautista | Behavior Technician | 7170 S Braden Ave Ste 210, Tulsa, OK 74136-6316 | 2020-02-17 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1558912063 | Kendall Lee Wilson-henson | Behavior Technician | 4515 E 91st St, Tulsa, OK 74137-2810 | 2019-09-25 |
| 1326544727 | Joannette Allen | Behavior Technician | 4916 N. St. Louis Ave, Tulsa, OK 74126 | 2018-04-04 |
| 1215447172 | Samantha Sanco | Behavior Technician | 3 S 205th East Ave, Tulsa, OK 74108-8131 | 2017-10-05 |
| 1699208405 | Anthony L. Taylor Sr. | Behavior Technician | 8001 S Mingo Rd Apt 2502, Tulsa, OK 74133-0842 | 2017-04-07 |
| 1871025593 | Rachael Robinson | Behavior Technician | 5077 S 76th East Ave Apt A, Tulsa, OK 74145-6234 | 2017-03-31 |
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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.