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Deactivated NPI 1265920979 Deactivated / Inactive NPI Female Practitioner

Jordan Marie Venable

Behavior Analyst • San Antonio, TX

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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, Jordan Venable has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2018
NPI Deactivation Date September 30, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Jordan Venable was a registered Behavior Analyst practicing in San Antonio, TX. Throughout an active medical career spanning 1 years, Jordan Venable provided care at the practice location at 15911 NACOGDOCHES RD until profile deactivation on 2019-09-30.

Practice Location & Contact Primary Location

Practice Address

15911 Nacogdoches Rd

San Antonio, TX 78247

Telephone 2105997733
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
537 Specialists

Practicing in San Antonio, TX (5867 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: 2023-01-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TX 3016

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.

Practice Associates & Co-Workers

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

32 Associated Practitioners
Kim Henderson , CCC - SLP

Speech-Language Pathologist

NPI 1144656877

Speech-Language Pathologist (Certificate of Clinical Competence)

Tsai Hsuan Liao Zimdars

Behavior Technician

NPI 1164055653
Sydney Contreras

Behavior Technician

NPI 1174145130
Miriam Coulter , MA, RBT

Behavior Technician

NPI 1184246316

Master of Arts, Registered Behavior Technician

Alonzo Andrews , BCBA

Behavior Analyst

NPI 1194031096

Board Certified Behavior Analyst

NPI 1215446950

MSBCBA

Career & Practice History Timeline

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

12 Historical Events
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Provider Name / Credentials Updated January 10, 2023

Recorded as JORDAN VENABLE

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Updated Practice Location October 16, 2019

Registered at 15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247 (Tel: 2105997733)

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Updated Business Mailing Address October 16, 2019

Registered at 10503 METRIC DRIVE, DALLAS, TX 75243 (Tel: 9726442076)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2019

Behavior Analyst (License #3016 in TX)

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NPI Profile Reactivated October 10, 2019

Record officially reactivated for active practice on October 10, 2019

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NPI Profile Deactivated September 30, 2019

Record deactivated on September 30, 2019

NPI Profile Active April 27, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2018

Registered at 14411 LARKSTONE ST, SAN ANTONIO, TX 782324728 (Tel: 2106431119)

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Updated Business Mailing Address April 27, 2018

Registered at 14411 LARKSTONE ST, SAN ANTONIO, TX 782324728

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Provider Name / Credentials Updated April 27, 2018

Recorded as JORDAN WIMBERLEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Behavior Technician (License #RBT-18-48833 in TX)

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Initial NPI Registration & Enumeration April 27, 2018

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: 1265920979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2018
Last Update: January 10, 2023
Deactivation Date: September 30, 2019
Sole Proprietor: No

Mailing Address

10503 Metric Drive

Dallas, TX 75243

Phone: 9726442076

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.