Mr Theodus J Jordan, REVEREND is a
Behavior Analyst based in Jamaica Plain, Massachusetts. Mr Theodus J Jordan is licensed to practice in Massachusetts (license number ) and his current practice location is
804 Centre Street, 300840 --mailing, Jamaica Plain, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 588-6443.
NPI number for Mr Theodus J Jordan is 1700226321 and his current mailing address is P.o.box 840, 804 Centre Street, Jamaica Plain, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700226321.
Healthcare Provider's Profile
Full Name | Mr Theodus J Jordan |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 804 Centre Street, Jamaica Plain, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700226321
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 06/27/2013
Medical Identifiers
Medical identifiers for Mr Theodus J Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700226321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | (Massachusetts) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (Massachusetts) | Secondary |
103K00000X | Behavior Analyst | (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodus J Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Theodus J Jordan, REVEREND P.o.box 840, 804 Centre Street, Jamaica Plain, MA 02130-0000 Ph: (617) 780-4323 | Mr Theodus J Jordan, REVEREND 804 Centre Street, 300840 --mailing, Jamaica Plain, MA 02130-0000 Ph: (508) 588-6443 |
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