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

Ashton Jack

Individual provider Behavior Technician · NPI 1194319871

Ashton Jack is a Behavior Technician in Lake Mary, Florida. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone: (866) 610-0580
Show map & directions

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

Additional practice locations (1)

  • 59 Apalachee Dr, Bethlehem, GA 30620-1822 — (860) 816-1105

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1194319871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address59 Apalachee Dr, Bethlehem, GA 30620-1822

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