MR. THEODUS J JORDAN REVEREND
NPI 1700226321
Behavior Analyst in Jamaica Plain, MA
NPI Status: Active since June 27, 2013
Contact Information
804 CENTRE STREET
300840 --MAILING
JAMAICA PLAIN, MA
ZIP 02130
Phone: (508) 588-6443
Fax: (508) 588-6443
- Individual
- Male
- Behavior Analyst
About THEODUS JORDAN
This page provides the complete NPI Profile along with additional information for Theodus Jordan, a provider established in Jamaica Plain, Massachusetts with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1700226321 assigned on June 2013. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1700226321
- Provider Name
- MR. THEODUS J JORDAN REVEREND
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 804 CENTRE STREET 300840 --MAILING JAMAICA PLAIN, MA 02130
- Location Phone
- (508) 588-6443
- Location Fax
- (508) 588-6443
- Mailing Address
- P.O.BOX 840 804 CENTRE STREET JAMAICA PLAIN, MA 02130
- Mailing Phone
- (617) 780-4323
- Mailing Fax
- (508) 588-6443
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-27-2013
- Last Update Date
- 06-27-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- MA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | (MA) |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | (MA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 2 | 2 | 6 | 3 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 4 | 2 | 12 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 4 + 2 + 1 + 2 + 3 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1700226321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700226321, enumerated in the NPI registry as an "individual" on June 27, 2013
The provider is located at 804 Centre Street 300840 --mailing Jamaica Plain, Ma 02130 and the phone number is (508) 588-6443
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
This NPI record was last updated on June 27, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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