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

Jordan Marie Blake

Individual provider Behavior Technician · NPI 1134903727

Jordan Marie Blake is a Behavior Technician in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

10817 Bloomingdale Ave
Riverview, FL 33578-3616
Phone: (813) 336-3529
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1134903727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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