FLETCHER CARROLL JR.
NPI 1780034017
Behavior Technician in Palm Coast, FL

Active since June 17, 2016
23 RYBAR LN, PALM COAST, FL 32164(386) 316-3004 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Mar 30, 2021, Jun 17, 2016 (3 updates tracked since 2016).

About Fletcher Carroll Jr. NPPES

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

FLETCHER CARROLL JR. (NPI 1780034017) is an individual behavior technician in Palm Coast, Florida and active in the NPI registry since June 2016. He maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1780034017
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameFLETCHER CARROLL JR.
Location Address23 RYBAR LNPalm Coast, FL 32164-6445
Mailing Address23 Rybar LnPalm Coast, FL 32164-6445 · (386) 316-3004
Sole ProprietorNo
Enumeration DateJune 17, 2016
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1780034017 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.
23 RYBAR LN, Palm Coast, FL 32164

Secondary Practice Location 1

Location 11408 NW 6th StGainesville, FL 32601-4020 · Phone (352) 373-4411

Other Identifiers 2

Medicaid018070500FL
Medicaid003553600FL

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.

Day Training, Developmentally Disabled Services
23 RYBAR LN
PALM COAST, FL 32164
Behavior Technician
23 RYBAR LN
PALM COAST, FL 32164
Counselor (Mental Health)
23 RYBAR LN
PALM COAST, FL 32164
Behavior Technician
23 RYBAR LN
PALM COAST, FL 32164
Behavior Technician
23 RYBAR LN
PALM COAST, FL 32164
Behavior Technician
23 RYBAR LN
PALM COAST, FL 32164
Behavior Technician
23 RYBAR LN
PALM COAST, FL 32164
Counselor
23 RYBAR LN
PALM COAST, FL 32164

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 Fletcher Carroll's NPI number?

The NPI number for Fletcher Carroll is 1780034017. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Fletcher Carroll located?

Fletcher Carroll practices at 23 Rybar Ln, Palm Coast, FL 32164. The listed phone number is (386) 316-3004.

What is Fletcher Carroll'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 Fletcher Carroll was last updated on November 19, 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.