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

Jasen Nelson

Individual provider Behavior Technician · NPI 1790557395

Jasen Nelson is a Behavior Technician in Fort Myers, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11503 Canopy Loop
Fort Myers, FL 33913-9457
Phone: (305) 917-3169
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 number1790557395
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2023
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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