Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Progressive Pediatric Therapy Services of Jacksonville

Organization Behavior Analyst · NPI 1861069676

Progressive Pediatric Therapy Services of Jacksonville is a Behavior Analyst in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12350 Shore Acres Dr
Jacksonville, FL 32225-5670
Phone: (850) 325-6301
Fax: (850) 325-6302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1861069676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Prejean — Clinic Director · (850) 325-6301
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address1725 Hermitage Blvd, Tallahassee, FL 32308-7709

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