KELY-MARIE JACKSON
NPI 1356971360
Behavior Technician in Jacksonville, FL

Active since January 17, 2020
9141 CYPRESS GREEN DR STE 2, JACKSONVILLE, FL 32256(904) 647-1849 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kely-marie Jackson NPPES

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

KELY-MARIE JACKSON (NPI 1356971360) is an individual behavior technician in Jacksonville, Florida and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1356971360
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELY-MARIE JACKSON
Location Address9141 CYPRESS GREEN DR STE 2Jacksonville, FL 32256-2006
Mailing Address1516 12th Ave NJax Bch, FL 32250-2834 · (904) 982-2814
Sole ProprietorYes
Enumeration DateJanuary 17, 2020
NPI 1356971360 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.
9141 CYPRESS GREEN DR STE 2, Jacksonville, FL 32256

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

Occupational Therapist (Pediatrics)
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Technician
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Technician
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Technician
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Analyst
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Technician
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Family Medicine (Addiction Medicine)
9141 CYPRESS GREEN DR STE 2
JACKSONVILLE, FL 32256
Behavior Technician
9141 CYPRESS GREEN DR STE 2
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 Kely-marie Jackson's NPI number?

The NPI number for Kely-marie Jackson is 1356971360. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Kely-marie Jackson located?

Kely-marie Jackson practices at 9141 Cypress Green Dr Ste 2, Jacksonville, FL 32256. The listed phone number is (904) 647-1849.

What is Kely-marie Jackson'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 Kely-marie Jackson was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.