JORDAN IMARA TIDWELL
NPI 1376404814
Behavior Technician in Richardson, TX

Active since November 24, 2025
3405 WILLOWBROOK DR, RICHARDSON, TX 75082(214) 784-2090 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Imara Tidwell NPPES

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

JORDAN IMARA TIDWELL (NPI 1376404814) is an individual behavior technician in Richardson, Texas, licensed in Texas (42488248) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1376404814
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJORDAN IMARA TIDWELL
Location Address3405 WILLOWBROOK DRRichardson, TX 75082-2409
Mailing Address3405 Willowbrook DrRichardson, TX 75082-2409 · (214) 784-2090
Sole ProprietorNo
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1376404814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in TX · 42488248
Definition
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.
3405 WILLOWBROOK DR, Richardson, TX 75082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Tidwell's NPI number?

The NPI number for Jordan Tidwell is 1376404814. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Jordan Tidwell located?

Jordan Tidwell practices at 3405 Willowbrook Dr, Richardson, TX 75082. The listed phone number is (214) 784-2090.

What is Jordan Tidwell's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jordan Tidwell was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.