JORDAN KEVIN WOODRUFF NPI 1447713557

NPI Information

  • NPI: 1447713557
  • Provider Name: JORDAN KEVIN WOODRUFF
  • Classification: Behavior Technician - 106S00000X
  • Entity Type: Individual
  • Address: 11715 S STATE ST APT E204
    DRAPER, UT
    ZIP 84020
  • Phone: (208) 965-4563

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NPI Details

Jordan Kevin Woodruff is a behavior technician in Draper, UT. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. Jordan Kevin Woodruff NPI is 1447713557. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11715 S STATE ST APT E204
DRAPER, UT
ZIP 84020-910
Phone: (208) 965-4563

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianRBT-15-2763-06274UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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