JORDAN PETERSEN
NPI 1992382097
Behavior Technician in Waipahu, HI

Active since March 25, 2021PECOS Enrolled
94-849 LUMIAINA ST UNIT 202, WAIPAHU, HI 96797(808) 294-7050 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Petersen NPPES

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

JORDAN PETERSEN (NPI 1992382097) is an individual behavior technician in Waipahu, Hawaii and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992382097
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJORDAN PETERSEN
Location Address94-849 LUMIAINA ST UNIT 202Waipahu, HI 96797-5677
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (619) 550-6368
Sole ProprietorNo
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1992382097 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.
94-849 LUMIAINA ST UNIT 202, Waipahu, HI 96797

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jordan Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Analyst
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797
Behavior Technician
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI 96797

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 Petersen's NPI number?

The NPI number for Jordan Petersen is 1992382097. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Jordan Petersen located?

Jordan Petersen practices at 94-849 Lumiaina St Unit 202, Waipahu, HI 96797. The listed phone number is (808) 294-7050.

What is Jordan Petersen's specialty?

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

Is Jordan Petersen enrolled in Medicare?

Yes. Jordan Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Petersen was last updated on March 25, 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.