JORDAN POTTER
NPI 1104394030
Behavior Technician in Jacksonville, FL

Active since November 08, 2018
9000 SOUTHSIDE BLVD BLDG 900, JACKSONVILLE, FL 32256(904) 732-4343(904) 562-3466 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2021, Nov 8, 2018 (2 updates tracked since 2018).

About Jordan Potter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN POTTER (NPI 1104394030) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since November 2018. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1104394030
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJORDAN POTTER
Location Address9000 SOUTHSIDE BLVD BLDG 900Jacksonville, FL 32256-0791
Mailing Address9000 Southside Blvd Bldg 900Jacksonville, FL 32256-0791 · (904) 732-4343 · Fax (904) 562-3466
Fax(904) 562-3466
Sole ProprietorNo
Enumeration DateNovember 8, 2018
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1104394030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedBehavior AnalystTaxonomy 103K00000X
9000 SOUTHSIDE BLVD BLDG 900, Jacksonville, FL 32256

Secondary Practice Location 1

Location 19000 Cypress Green DrJacksonville, FL 32256 · Phone (904) 732-4343

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Analyst
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Technician
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Analyst
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Technician
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Analyst
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Technician
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256
Behavior Technician
9000 SOUTHSIDE BLVD BLDG 900
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Potter's NPI number?

The NPI number for Jordan Potter is 1104394030. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Jordan Potter located?

Jordan Potter practices at 9000 Southside Blvd Bldg 900, Jacksonville, FL 32256. The listed phone number is (904) 732-4343.

What is Jordan Potter's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jordan Potter was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.