Active NPI
Jayden 8636400163 Wells
- Behavior Technician
- Fort Pierce, FL
National Provider Identifier
1104746395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT262829814
- Practice address
- 2969 W Midway Rd
Fort Pierce, FL 34981-4956 - Phone
- (561) 536-5888
- NPI assigned
- Jul 17, 2026
- 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 | RBT262829814 | FL | Primary |
Addresses
Primary practice location
2969 W Midway Rd
Fort Pierce, FL 34981-4956
Mailing address
1761 SW Tivan LN
Port Saint Lucie, FL 34984-3613
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1104746395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 SW TIVAN LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349843613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 W MIDWAY RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349814956",
"telephone_number": "561-536-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JAYDEN",
"middle_name": "8636400163",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT262829814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.