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

Jordan Michael Lavender

Individual provider Behavior Technician · NPI 1790636314

Jordan Michael Lavender is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

45 Alabama Ave
Jacksonville, FL 32218-2677
Phone: (904) 420-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1790636314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address300 International Pkwy, Suite 200, Lake Mary, FL 32746-5028

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