Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Imara Tidwell

Individual provider Behavior Technician · NPI 1376404814

Jordan Imara Tidwell is a Behavior Technician in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

3405 Willowbrook Dr
Richardson, TX 75082-2409
Phone: (214) 784-2090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 42488248 (TX)

Record details

NPI number1376404814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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