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

Jordan Miller

Individual provider Behavior Technician · NPI 1790350163

Jordan Miller is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

6196 Lake Gray Blvd
Jacksonville, FL 32244-7503
Phone: (800) 356-4049
Fax: (941) 485-0519
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-163361 (FL)

Record details

NPI number1790350163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing addressPo Box 631278, Cincinnati, OH 45263-1278

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