Active NPI
Jordan Garick
- Behavior Analyst
- Fort Walton Beach, FL
National Provider Identifier
1396350641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12368291
- Practice address
- 1707 Conservation TRL Unit 206
Fort Walton Beach, FL 32547-5080 - Phone
- (850) 608-4586
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- 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 Analyst | 103K00000X | 12368291 | FL | Primary |
Addresses
Primary practice location
1707 Conservation TRL Unit 206
Fort Walton Beach, FL 32547-5080
Mailing address
1707 Conservation TRL Unit 206
Fort Walton Beach, FL 32547-5080
Phone (850) 608-4586
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 |
|---|---|---|---|
| 12368291 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Blocks ABA LLC | Behavior Analyst | Current | Accepting new patients |
| Camp Family LLC | Behavior Analyst | Current | Accepting new patients |
Locations
225 Main St
Ste 3
Destin, FL 32541
Phone (850) 564-6408
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fort Walton Beach, FL
- NPI 1457231029
-
- Behavior Analyst
- Destin, FL
- NPI 1497346985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1396350641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 CONSERVATION TRL UNIT 206",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325475080",
"telephone_number": "850-608-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 CONSERVATION TRL UNIT 206",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325475080",
"telephone_number": "850-608-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARICK",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12368291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.