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

Jackson Quenten Wentworth

Individual provider Behavior Technician · NPI 1891575494

Jackson Quenten Wentworth is a Behavior Technician in Tallahassee, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2331 Hansen Ct
Tallahassee, FL 32301-4859
Phone: (850) 320-6555
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 number1891575494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

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