Jordan C Garcia, RBT
Individual provider Active NPI Behavior Technician · Longwood, FL
NPI 1013591205 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1013591205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT21155942 (FL)
- Practice address
- 1939 Boothe Cir
Longwood, FL 32750-6774 - Phone
- (407) 218-4340
- Fax
- (407) 218-4303
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 | |
| Life Concepts Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT21155942 | FL | Yes |
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
Other providers in Longwood, FL
- Maritza Garay
- Mariana Garcia de la Guardia
- Adriana Ivette Garcia
- Aizalyn Garcia
- Arturo Garcia
- Karina Luannie Garcia
- Yoan Garcia
- Amber Tennille Garrett
- Rebekah Gast
- Gastro Health, LLC
All providers in Longwood, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.