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

Jillian Southall

Individual provider Behavior Analyst · NPI 1548031602

Jillian Southall is a Behavior Analyst in Ozone Park, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10450 102nd St
Ozone Park, NY 11417-2237
Phone: (646) 377-7721
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1548031602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address9011 160th St Apt B902, Jamaica, NY 11432-6159

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