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

Jeremy David Ivy

Individual provider Behavior Technician · NPI 1356990766

Jeremy David Ivy is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (912) 202-9037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-419533 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1356990766
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2019
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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