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

Elexus Kristina Clark

Individual provider Behavior Technician · NPI 1962290635

Elexus Kristina Clark is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (757) 389-3419
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 number1962290635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025
Mailing address12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486

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