Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jadelyn Ballard-Witherspoon

Individual provider Behavior Technician · NPI 1659185635

Jadelyn Ballard-Witherspoon is a Behavior Technician in Holly Hill, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1621 Espanola Ave
Holly Hill, FL 32117-1745
Phone: (904) 415-8844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 24-393206 (FL)

Record details

NPI number1659185635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2025
Last updated in NPPESFebruary 1, 2025
Certification dateJanuary 31, 2025

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