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

Brooklyn Rose Vevoda

Individual provider Behavior Analyst · NPI 1053946715

Brooklyn Rose Vevoda is a Behavior Analyst in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1053946715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618

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