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

Justin K Dickerson

Individual provider Behavior Technician · NPI 1932924883

Justin K Dickerson is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (855) 832-6727
Fax: (772) 675-9100
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1932924883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2024
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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