Active NPI
Jordan C Garcia, RBT
- Behavior Technician
- Longwood, FL
National Provider Identifier
1013591205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT21155942
- Practice address
- 1939 Boothe Cir
Longwood, FL 32750-6774 - Phone
- (407) 218-4340
- Fax
- (407) 218-4303
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT21155942 | FL | Primary |
Addresses
Primary practice location
1939 Boothe Cir
Longwood, FL 32750-6774
Mailing address
1509 E Colonial Dr Ste 300
Orlando, FL 32803-4729
Phone (407) 218-4371
Other practice location 1
500 E Colonial Dr
Orlando, FL 32803-4510
Phone (407) 218-4340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT21155942 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Concepts Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1013591205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 E COLONIAL DR STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034729",
"telephone_number": "407-218-4371",
"fax_number": "407-218-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 BOOTHE CIR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327506774",
"telephone_number": "407-218-4340",
"fax_number": "407-218-4303"
}
],
"practiceLocations": [
{
"address_1": "500 E Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328034510",
"country_code": "US",
"telephone_number": "407-218-4340",
"fax_number": "407-218-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "JORDAN",
"middle_name": "C",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT21155942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.