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

Mr. Jordan Derek Thiele

Individual provider Behavior Technician · NPI 1972010692

Mr. Jordan Derek Thiele is a Behavior Technician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2018.

Licensed in
AK
In the registry since
2018

Practice location Address checks out

1503 K St
Anchorage, AK 99501-4965
Phone: (907) 717-5565
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB341390 (AK)

Record details

NPI number1972010692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJanuary 3, 2018

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