Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaira Esthel Tesoro Forman, MA, BCBA

Individual provider Behavior Technician · NPI 1558993295

Jaira Esthel Tesoro Forman, MA, BCBA is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6820 Southpoint Pkwy Ste 9
Jacksonville, FL 32216-6277
Phone: (888) 754-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-54032 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1558993295
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , BCBA
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022

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