Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY NEAPOLITAN GUSTAVSON M.ED
NPI 1821404476
Behavior Analyst in Jacksonville, FL

Q: What is Mary Neapolitan Gustavson's NPI number?

The NPI number for Mary Neapolitan Gustavson is 1821404476. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Q: What is Mary Neapolitan Gustavson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since July 03, 2014

12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(855) 832-6727(772) 675-9100 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, May 12, 2026, Nov 10, 2025 (3 updates tracked since 2025).

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About Mary Neapolitan Gustavson M.ed NPPES

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

MARY NEAPOLITAN GUSTAVSON M.ED (NPI 1821404476) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-14-15200) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1821404476

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARY NEAPOLITAN GUSTAVSONCredential: M.ED

Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486

Mailing Address28 Colony StSt Augustine, FL 32084-1208 · (904) 400-4765

Phone(855) 832-6727

Fax(772) 675-9100

Sole ProprietorNo

Enumeration DateJuly 3, 2014

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1821404476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-14-15200

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

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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.

CARL STEVENS

Behavior Technician