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

Justin Fazio

Individual provider Behavior Technician · NPI 1780077081

Justin Fazio is a Behavior Technician in St Johns, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

120 Everest Ln Ste 1
St Johns, FL 32259-4063
Phone: (844) 244-1818
Show map & directions

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

Additional practice locations (1)

  • 4575 Se Dixie Hwy, Stuart, FL 34997-6826 — (855) 832-6727

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1780077081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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