NPI 1104303973

Kirstin Nicole Jarvis

Practitioner Behavior Analyst Orange Park, FL

Practice location

Address: 2176 Park Ave STE 101, Orange Park, FL 32073-5586
Phone: (904) 269-1100
Mailing address: 2542 Tall Grass Rd, Green Cove Springs, FL 32043-8634

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 12259839 (FL)

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Registry record

NPI: 1104303973
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2018
Record last updated: 7 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.