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

Mr. Timothy Dylan Hardisty

Individual provider Behavior Technician · NPI 1821829797

Mr. Timothy Dylan Hardisty is a Behavior Technician in Orange Park, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1567 Kingsley Ave
Orange Park, FL 32073-4510
Phone: (904) 602-9740
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 number1821829797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address1567 Kingsley Ave, Orange Park, FL 32073-4510

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