NPI 1053856724 · live from the CMS NPI Registry
Jordan Creed
Behavior Analyst in Davenport, IA. National Provider Identifier 1053856724, active.
NPI record
| NPI | 1053856724 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 14136 115th Ave, Davenport, IA 52804 |
| Practice phone | 847-915-5320 |
| Enumerated | January 4, 2017 |
| Last updated | July 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-19-35750 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.