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

Desiree Carroll

Individual provider Behavior Technician · NPI 1053034124

Desiree Carroll is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (512) 641-4020
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1053034124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address6626 River Falls Dr S, Jacksonville, FL 32219-5135

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