What is Jordan Wallace's NPI number?

Jordan Wallace's National Provider Identifier (NPI) is 1689449787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jordan Wallace's specialty?

Jordan Wallace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jordan Wallace located?

Jordan Wallace's practice location on file with NPPES is 69155 Dinah Shore Dr, Cathedral City, CA 92234-4792.

What is Jordan Wallace's phone number?

The practice phone number listed in the NPPES registry for Jordan Wallace is (760) 969-9383.

Is Jordan Wallace's NPI active?

Yes — Jordan Wallace's NPI (1689449787) is active in the NPPES registry as of the last update on 2023-11-17.

IndividualActive

Jordan Wallace

NPI 1689449787 · Behavior Technician · Cathedral City, CA

Jordan Wallace is a Behavior Technician provider in Cathedral City, CA (NPI 1689449787).

Provider details

NPI number: 1689449787
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES 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

69155 Dinah Shore Dr

Cathedral City, CA 92234-4792

Phone: (760) 969-9383

Street-level locationGet directions

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Mailing address