JORDAN IMARA TIDWELL
NPI 1376404814
Behavior Technician in Richardson, TX
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
Specialties & Licenses
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.