Active NPI
Dylan's Kids. LLC
Doing business as Brain Balance Center of Jacksonville
- Behavior Technician
- Saint Johns, FL
National Provider Identifier
1164399028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- DYLAN'S KIDS. LLC
- Doing business as
- Brain Balance Center of Jacksonville
- Practice address
- 155 Fountains Way Ste 13
St Johns, FL 32259-1144 - Phone
- (904) 822-0132
- NPI assigned
- Oct 23, 2025
- Last updated
- Oct 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jessica Wick
- Title
- Owner
- Phone
- (904) 822-0132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
155 Fountains Way Ste 13
St Johns, FL 32259-1144
Mailing address
155 Fountains Way Ste 13
St Johns, FL 32259-1144
Phone (904) 822-0132
Other names 1
- Brain Balance Center of Jacksonville
National Provider Directory
National Provider DirectoryLocations
155 Fountains Way
Ste 13
St Johns, FL 32259
Phone (904) 822-0132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1164399028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 FOUNTAINS WAY STE 13",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322591144",
"telephone_number": "904-822-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 FOUNTAINS WAY STE 13",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322591144",
"telephone_number": "904-822-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYLAN'S KIDS. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "WICK",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-822-0132",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brain Balance Center of Jacksonville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.