MEDICARE: JORDYN VICTORIA POPE BCBA, MA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	BEH-002020	AZ

General Provider Information

NPI Number	:	1811837818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDYN VICTORIA POPE BCBA, MA, LBA

Provider Business Mailing Address
First Line	:	42160 W ARVADA CT
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-3780
Country	:	US
Telephone Number	:	602-887-9381
Fax Number	:

Provider Business Practice Location Address
First Line	:	41800 W MARICOPA CASA GRANDE HWY
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138
Country	:	US
Telephone Number	:	602-887-9381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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