Provider Demographics
NPI:1124534326
Name:TURLEY, JORDAN (BCBA)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:TURLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4440 STARDUSK FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-4722
Mailing Address - Country:US
Mailing Address - Phone:720-985-4350
Mailing Address - Fax:
Practice Address - Street 1:8670 W CHEYENNE AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7457
Practice Address - Country:US
Practice Address - Phone:725-202-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-26
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0375103K00000X
CO1-20-44960103K00000X
CO15-04512106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician