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

Jaclyn Rae Holsomback

Individual provider Behavior Technician · NPI 1356015242

Jaclyn Rae Holsomback is a Behavior Technician in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

250 NW 76th Dr
Gainesville, FL 32607-6668
Phone: (352) 505-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1356015242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address250 Nw 76th Dr, Gainesville, FL 32607-6668

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