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

Jennifer Rennee Jacks

Individual provider Behavior Technician · NPI 1013679679

Jennifer Rennee Jacks is a Behavior Technician in Riverview, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

10817 Bloomingdale Ave
Riverview, FL 33578-3616
Phone: (813) 324-1342
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 number1013679679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021
Mailing address4718 Copper Canyon Blvd, Valrico, FL 33594-9316

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