Provider Demographics
NPI:1881562155
Name:EVANS, JORDAN (BCBA, COBA)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:BCBA, COBA
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:TIBBITS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA, COBA
Mailing Address - Street 1:5492 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10245 BRECKSVILLE RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3341
Practice Address - Country:US
Practice Address - Phone:330-748-4807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst