IndividualActive
Jordan Souksamlane
NPI 1043185853 · Behavior Technician · Walnut Creek, CA
Jordan Souksamlane is a Behavior Technician provider in Walnut Creek, CA (NPI 1043185853).
Provider details
- NPI number
- 1043185853
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
313 Lennon Ln Ste 100
Suite 100
Walnut Creek, CA 94598-2460
Phone: (925) 278-6489
Street-level locationGet directions
Mailing address
313 Lennon Ln Ste 100
Walnut Creek, CA 94598-2460
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Jordan Souksamlane's NPI number?
- Jordan Souksamlane's National Provider Identifier (NPI) is 1043185853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Souksamlane's specialty?
- Jordan Souksamlane is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jordan Souksamlane located?
- Jordan Souksamlane's practice location on file with NPPES is 313 Lennon Ln Ste 100, Walnut Creek, CA 94598-2460.
- What is Jordan Souksamlane's phone number?
- The practice phone number listed in the NPPES registry for Jordan Souksamlane is (925) 278-6489.
- Is Jordan Souksamlane's NPI active?
- Yes — Jordan Souksamlane's NPI (1043185853) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.