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PROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE
NPI 1861069676
Behavior Analyst in Jacksonville, FL

Active since June 09, 2021
12350 SHORE ACRES DR, JACKSONVILLE, FL 32225(850) 325-6301(850) 325-6302 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Progressive Pediatric Therapy Services Of Jacksonville NPPES

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

PROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE (NPI 1861069676) is a healthcare organization registered as a behavior analyst in Jacksonville, Florida and active in the NPI registry since June 2021. The organization lists Kelly Quin Prejean, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1861069676
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NamePROGRESSIVE PEDIATRIC THERAPY SERVICES OF JACKSONVILLE
Location Address12350 SHORE ACRES DRJacksonville, FL 32225-5670
Mailing Address1725 Hermitage BlvdTallahassee, FL 32308-7709 · (850) 325-6301 · Fax (850) 352-6302
Phone(850) 325-6301
Fax(850) 325-6302
Organization SubpartNo
Authorized OfficialKelly Quin PrejeanClinic Director · (850) 325-6301
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1861069676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
12350 SHORE ACRES DR, Jacksonville, FL 32225
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EVNER BEHAVIOR SERVICES, LLC
Behavior Analyst
12350 SHORE ACRES DR
JACKSONVILLE, FL 32225
Duval County (770) 500-8137
COURTNEY ROLLINGS LATHAM BCBA
Behavior Analyst
12350 SHORE ACRES DR
JACKSONVILLE, FL 32225
Duval County (770) 500-8137

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 Progressive Pediatric Therapy Services Of Jacksonville's NPI number?

The NPI number for Progressive Pediatric Therapy Services Of Jacksonville is 1861069676. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Progressive Pediatric Therapy Services Of Jacksonville located?

Progressive Pediatric Therapy Services Of Jacksonville is located at 12350 Shore Acres Dr, Jacksonville, FL 32225. The listed phone number is (850) 325-6301.

What is Progressive Pediatric Therapy Services Of Jacksonville's specialty?

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

When was this NPI record last updated?

The NPPES record for Progressive Pediatric Therapy Services Of Jacksonville was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.