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

Jenelle Nicole Bates

Individual provider Behavior Technician · NPI 1124709134

Jenelle Nicole Bates is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 41032258
Jacksonville, FL 32258-9485
Phone: (855) 832-6727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-286392 (FL)

Record details

NPI number1124709134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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