JORDAN PETERSEN
NPI 1992382097
Behavior Technician in Waipahu, HI
NPI Status: Active since March 25, 2021
Contact Information
94-849 LUMIAINA ST UNIT 202
WAIPAHU, HI
ZIP 96797
Phone: (808) 294-7050
- Individual
- Male
- Behavior Technician
- PECOS Enrolled
About JORDAN PETERSEN
This page provides the complete NPI Profile along with additional information for Jordan Petersen, a provider established in Waipahu, Hawaii with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1992382097 assigned on March 2021. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1992382097
- Provider Name
- JORDAN PETERSEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797
- Location Phone
- (808) 294-7050
- Mailing Address
- 16782 VON KARMAN AVE STE 11 IRVINE, CA 92606
- Mailing Phone
- (619) 550-6368
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2021
- Last Update Date
- 03-25-2021
- 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 Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Jordan Petersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JORDAN PETERSEN
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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 | 9 | 9 | 2 | 3 | 8 | 2 | 0 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 6 | 8 | 4 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 6 + 8 + 4 + 0 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1992382097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902498843 | BRIAN TAHENY Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1174115018 | SAMANTHA DAMO Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1255923199 | DIAMONTE CHAMBERLAIN Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1205429727 | JESSIE JEFFRIES Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1609468370 | KAREN MAE MATEO Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1649862327 | KUUALOHA MURAI Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1245823475 | BRITTNIE AGUILAR Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1912591645 | KELLY MICHIKO HOKULEA MARI MUNEOKA Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1770137333 | KIMBERLY PASION LONGBOY Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1902490030 | KAITLYN VEST Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1619562360 | DONALD BARKER Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1407441157 | KENADEE MARTINS Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1073198107 | SHAINA DINGAL Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1023693504 | KIMBERLY RAMOS-VINCENT Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1184209462 | TRISTESSA GAYER Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1891372090 | ALYSCIA ANDAYA Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1316524515 | NIA COLON Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1134707896 | RAISTLIN RAMOS Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1811575574 | CASSANDRA WOLF Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
| 1750960811 | JEFFERY MOONEY Individual | Behavior Technician | 94-849 LUMIAINA ST UNIT 202 WAIPAHU, HI 96797 (808) 294-7050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992382097, enumerated in the NPI registry as an "individual" on March 25, 2021
The provider is located at 94-849 Lumiaina St Unit 202 Waipahu, Hi 96797 and the phone number is (808) 294-7050
The provider's speciality is Behavior Technician with taxonomy code 106S00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 25, 2021. 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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