Individual provider Active NPI

Jordan Garick

  • Behavior Analyst
  • Fort Walton Beach, FL
National Provider Identifier
1396350641
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12368291 Issued in FL
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

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12368291FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks ABA LLC Behavior Analyst Current Accepting new patients
Camp Family LLC Behavior Analyst CurrentSince Sep 24, 2023 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.

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.

Verify at the official NPI Registry.