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

Jordan Lane

Individual provider Behavior Technician · NPI 1679246698

Jordan Lane is a Behavior Technician in Fleming Island, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1831 Golden Eagle Way Ste 34
Fleming Island, FL 32003-4340
Phone: (904) 579-4779
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1679246698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 26, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address1844 Northglen Cir, Middleburg, FL 32068-6582

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