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Deactivated NPI 1669911129 Deactivated / Inactive NPI Male Practitioner

Lionel Jordan

Assistant Behavior Analyst • Willingboro, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lionel Jordan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 16, 2017
NPI Deactivation Date February 18, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Lionel Jordan was a registered Assistant Behavior Analyst practicing in Willingboro, NJ. Throughout an active medical career spanning 5 years, Lionel Jordan provided care at the practice location at 18 PEMBROOK LN until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

18 Pembrook Ln

Willingboro, NJ 080462712

Telephone 6095346559

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Willingboro, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Willingboro, NJ (199 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

Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

State License NJ J65704750007692

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 16, 2017

Registered at 18 PEMBROOK LN, WILLINGBORO, NJ 080462712 (Tel: 6095346559)

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Updated Business Mailing Address February 16, 2017

Registered at 18 PEMBROOK LN, WILLINGBORO, NJ 080462712

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Provider Name / Credentials Updated February 16, 2017

Recorded as LIONEL JORDAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Assistant Behavior Analyst (License #J65704750007692 in NJ)

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Initial NPI Registration & Enumeration February 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669911129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2017
Last Update: February 16, 2017
Deactivation Date: February 18, 2022

Mailing Address

18 Pembrook Ln

Willingboro, NJ 080462712

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.