IndividualActive
Jared Yan
NPI 1154206910 · Behavior Technician · Port Saint Lucie, FL
Provider details
- NPI number
- 1154206910
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-25-457232 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10272 S US Highway 1
Port Saint Lucie, FL 34952-5615
Phone: (772) 872-6940
Street-level locationGet directions
Mailing address
2602 Sw Union Ter
Port Saint Lucie, FL 34953-2982
Registry dates
- Enumerated
- 2025-08-09
- Last updated
- 2025-08-09
- Certified
- 2025-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.