JORDAN SHEPHERD
NPI 1356947618
Behavior Analyst in Warwick, RI

Q: What is Jordan Shepherd's NPI number?

The NPI number for Jordan Shepherd is 1356947618. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Q: What is Jordan Shepherd'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 Jordan Shepherd was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2020

600 TOLL GATE RD, WARWICK, RI 02886(401) 477-9495(401) 205-3582 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2022, Dec 11, 2020 (2 updates tracked since 2020).

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About Jordan Shepherd NPPES

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

JORDAN SHEPHERD (NPI 1356947618) is an individual behavior analyst provider in Warwick, Rhode Island, licensed in Rhode Island (LBA00238) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1356947618

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJORDAN SHEPHERD

Location Address600 TOLL GATE RDWarwick, RI 02886-2717

Mailing Address600 Toll Gate RdWarwick, RI 02886-2717 · (401) 477-9495

Phone(401) 477-9495

Fax(401) 205-3582

Sole ProprietorYes

Enumeration DateDecember 10, 2020

Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration

NPPES CertifiedJuly 11, 2022

✔ NPI 1356947618 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 RI · LBA00238

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.

600 TOLL GATE RD, Warwick, RI 02886

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Other Identifiers 1

Medicaid1013505676RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

STRIDES BEHAVIORAL SERVICES, LLC

Behavior Analyst