SAMANTHA JORDAN BCBA
NPI 1114413747
Behavior Analyst in Cerritos, CA

Q: What is Samantha Jordan's NPI number?

The NPI number for Samantha Jordan is 1114413747. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Q: What is Samantha Jordan's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Jordan was last updated on October 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2018

16410 BLOOMFIELD AVE STE B, CERRITOS, CA 90703(855) 223-7123 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2018, Jul 6, 2018 (2 updates tracked since 2018).

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About Samantha Jordan Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JORDAN BCBA (NPI 1114413747) is an individual behavior analyst provider in Cerritos, California, licensed in California (1-18-31374) and active in the NPI registry since July 2018. She maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1114413747

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAMANTHA JORDANCredential: BCBA

Location Address16410 BLOOMFIELD AVE STE BCerritos, CA 90703-2144

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Sole ProprietorNo

Enumeration DateJuly 6, 2018

Last NPPES UpdateOctober 16, 20182 updates tracked since enumeration

✔ NPI 1114413747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-18-31374

Definition

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.

16410 BLOOMFIELD AVE STE B, Cerritos, CA 90703

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Secondary Practice Location 1

Location 118726 S Western AveGardena, CA 90248-3813 · Phone (310) 856-0800 · Fax (855) 568-2494

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE JASMIN JACOBO

Behavior Technician