JORDAN L MANGUM
NPI 1679229298
Behavior Analyst in Little Rock, AR

Q: What is Jordan Mangum's NPI number?

The NPI number for Jordan Mangum is 1679229298. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Jordan Mangum'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 Mangum was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2022

1900 ALDERSGATE RD, LITTLE ROCK, AR 72205(501) 821-5459(501) 821-6116 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Feb 22, 2022 (2 updates tracked since 2022).

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About Jordan L Mangum NPPES

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

JORDAN L MANGUM (NPI 1679229298) is an individual behavior analyst provider in Little Rock, Arkansas and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1679229298

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJORDAN L MANGUM

Location Address1900 ALDERSGATE RDLittle Rock, AR 72205-6620

Mailing Address1900 Aldersgate RdLittle Rock, AR 72205-6620 · (501) 821-5459 · Fax (501) 821-6116

Phone(501) 821-5459

Fax(501) 821-6116

Sole ProprietorNo

Enumeration DateFebruary 22, 2022

Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1679229298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-188011 (AR)

1900 ALDERSGATE RD, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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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.

MRS. ADRIENNE REEVES L.P.E.

Counselor (Mental Health)