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Natasha Marie Jordan

Behavior Technician in Sacramento, CA. Individual provider (NPI-1).

NPI number1891480596
StatusActive
Last updated in NPPESSep 19, 2023

Details

NPI
1891480596
Entity type
Individual (NPI-1)
Name
Natasha Marie Jordan
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2023
Certification date
Sep 19, 2023
Last updated
Sep 19, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

3840 Rosin Ct
Sacramento, CA 95834-1639

Phone 916-374-0800

Mailing address

3840 Rosin Ct
Sacramento, CA 95834-1639

Phone 916-374-0800

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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