IndividualActive
Jordan Petzoldt
NPI 1942895776 · Behavior Technician · Cape Girardeau, MO
Jordan Petzoldt is a Behavior Technician provider in Cape Girardeau, MO (NPI 1942895776).
Provider details
- NPI number
- 1942895776
- 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
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1417 N Mount Auburn Rd Ste C
Cape Girardeau, MO 63701-2171
Phone: (573) 271-5240
Street-level locationGet directions
Mailing address
206 Oaklane Dr
Cape Girardeau, MO 63701-9549
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is Jordan Petzoldt's NPI number?
- Jordan Petzoldt's National Provider Identifier (NPI) is 1942895776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Petzoldt's specialty?
- Jordan Petzoldt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jordan Petzoldt located?
- Jordan Petzoldt's practice location on file with NPPES is 1417 N Mount Auburn Rd Ste C, Cape Girardeau, MO 63701-2171.
- What is Jordan Petzoldt's phone number?
- The practice phone number listed in the NPPES registry for Jordan Petzoldt is (573) 271-5240.
- Is Jordan Petzoldt's NPI active?
- Yes — Jordan Petzoldt's NPI (1942895776) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.