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

Jing Fan

Individual provider Behavior Analyst · NPI 1669236287

Jing Fan is a Behavior Analyst in Port Charlotte, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

22655 Bayshore Rd
Port Charlotte, FL 33980-2018
Phone: (239) 351-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1669236287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address1016 Vega Ave Nw, Port Charlotte, FL 33948-2071

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