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

Jessica Diane Proveaux

Individual provider Behavior Technician · NPI 1093338063

Jessica Diane Proveaux is a Behavior Technician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

124 Capulet Dr Ste 102
St Augustine, FL 32092-4538
Phone: (904) 429-3859
Fax: (904) 429-4416
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1093338063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Other providers in St Augustine