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

Jordan T Waltrip

Individual provider Behavior Technician · NPI 1700747813

Jordan T Waltrip is a Behavior Technician in Fleming Island, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1831 Golden Eagle Way Ste 35
Fleming Island, FL 32003-4340
Phone: (904) 852-4063
Fax: (904) 212-5022
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-25-490517 (FL)

Record details

NPI number1700747813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1831 Golden Eagle Way Ste 35, Fleming Island, FL 32003-4340

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