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

Alexa Nicole Polanco

Individual provider Behavior Technician · NPI 1063221877

Alexa Nicole Polanco is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Phone: (904) 416-8921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-403112 (FL)

Record details

NPI number1063221877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102

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