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

Individual provider Behavior Technician · NPI 1356971360

Kely-Marie Jackson is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

9141 Cypress Green Dr Ste 2
Jacksonville, FL 32256-2006
Phone: (904) 647-1849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1356971360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2020
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address1516 12th Ave N, Jax Bch, FL 32250-2834

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