MISS SHANNON CHARITY BROOME
NPI 1265238729
Behavior Technician in Jacksonville, FL

Active since February 24, 2025
12724 GRAN BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, FL 32258(855) 832-6727 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Jun 5, 2025, Feb 24, 2025 (3 updates tracked since 2025).

About Miss Shannon Charity Broome NPPES

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

MISS SHANNON CHARITY BROOME (NPI 1265238729) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since February 2025. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1265238729
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMISS SHANNON CHARITY BROOME
Location Address12724 GRAN BAY PARKWAY WEST, SUITE 410Jacksonville, FL 32258-9486
Mailing Address5426 Lois AveJacksonville, FL 32205-6227 · (904) 802-9944
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1265238729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
12724 GRAN BAY PARKWAY WEST, Jacksonville, FL 32258

Secondary Practice Location 1

Location 17775 Baymeadows Way Ste 200Jacksonville, FL 32256-7531 · Phone (904) 396-2199

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
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PARKWAY WEST, SUITE 410
JACKSONVILLE, FL 32258

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 Shannon Broome's NPI number?

The NPI number for Shannon Broome is 1265238729. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Shannon Broome located?

Shannon Broome practices at 12724 Gran Bay Parkway West Suite 410, Jacksonville, FL 32258. The listed phone number is (855) 832-6727.

What is Shannon Broome'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 Shannon Broome was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.