Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952773483 Individual Practitioner Female Practitioner

Jordan A Dormer

Behavior Analyst • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Jordan Dormer is a registered healthcare professional specializing in Behavior Analyst in Lakeland, FL. Practice services are available at 145 E EDGEWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

145 E Edgewood Dr

Lakeland, FL 338034014

Telephone 9413800301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
111 Specialists

Practicing in Lakeland, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-31
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113333400 (FL)

Secondary Practice Locations

3325 W Bearss Ave

Tampa, FL 336182100

Phone: 8778234283

3325 W Bearss Ave

Tampa, FL 336182100

Phone: 8778234283

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1013368679

Board Certified Behavior Analyst

Bradley O'brien , RBT

Behavior Analyst

NPI 1033739008

Registered Behavior Technician

Faneeza Yassin

Behavior Analyst

NPI 1093209512
Erin Drury

Behavior Technician

NPI 1104467836
Meyah Pitts

Behavior Technician

NPI 1104598523
Tyler Brown

Behavior Technician

NPI 1114490646

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 31, 2022

Registered at 145 E EDGEWOOD DR, LAKELAND, FL 338034014 (Tel: 9413800301)

📍
Updated Business Mailing Address May 31, 2022

Registered at 145 E EDGEWOOD DR, LAKELAND, FL 338034014 (Tel: 9413800301)

📍
Updated Business Mailing Address May 20, 2019

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 4079157729)

📍
Updated Practice Location May 29, 2018

Registered at 2701 UNIVERSITY SQUARE DR, TAMPA, FL 33612 (Tel: 8139810815)

📍
Updated Business Mailing Address May 29, 2018

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Behavior Technician

NPI Profile Active October 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2015

Registered at 3325 W BEARSS AVE, TAMPA, FL 336182100 (Tel: 8778234283)

📍
Updated Business Mailing Address October 23, 2015

Registered at 3325 W BEARSS AVE, TAMPA, FL 336182100

👤
Provider Name / Credentials Updated October 23, 2015

Recorded as JORDAN DORMER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2015

Behavior Analyst

🟢
Initial NPI Registration & Enumeration October 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952773483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2015
Last Update: May 31, 2022
Sole Proprietor: No

Mailing Address

145 E Edgewood Dr

Lakeland, FL 338034014

Phone: 9413800301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.