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

Clarissa Kelly Smith

Individual provider Behavior Technician · NPI 1801529672

Clarissa Kelly Smith is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1801529672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address13505 Fanshowe Rd, Jacksonville, FL 32246-1200

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