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

Kelsie Roeisha Mangar

Individual provider Behavior Technician · NPI 1023867603

Kelsie Roeisha Mangar 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

13553 Atlantic Blvd Ste 100
Jacksonville, FL 32225-4227
Phone: (904) 420-7030
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1083859 (FL)

Record details

NPI number1023867603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

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