JORDAN MICHAEL PETZOLDT
NPI 1942895776
Behavior Technician in Cape Girardeau, MO

Active since March 03, 2021
1417 N MOUNT AUBURN RD STE C, CAPE GIRARDEAU, MO 63701(573) 271-5240 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Michael Petzoldt NPPES

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

JORDAN MICHAEL PETZOLDT (NPI 1942895776) is an individual behavior technician in Cape Girardeau, Missouri and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1942895776
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJORDAN MICHAEL PETZOLDT
Location Address1417 N MOUNT AUBURN RD STE CCape Girardeau, MO 63701-2171
Mailing Address206 Oaklane DrCape Girardeau, MO 63701-9549 · (573) 270-9556
Sole ProprietorNo
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1942895776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
1417 N MOUNT AUBURN RD STE C, Cape Girardeau, MO 63701

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.

Behavior Technician
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701
Behavior Technician
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701
Behavior Analyst
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701
Behavior Technician
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701
Clinic/Center (Sleep Disorder Diagnostic)
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701
Behavior Technician
1417 N MOUNT AUBURN RD STE C
CAPE GIRARDEAU, MO 63701

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 Petzoldt's NPI number?

The NPI number for Jordan Petzoldt is 1942895776. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Jordan Petzoldt located?

Jordan Petzoldt practices at 1417 N Mount Auburn Rd Ste C, Cape Girardeau, MO 63701. The listed phone number is (573) 271-5240.

What is Jordan Petzoldt'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 Petzoldt was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.