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

Krystabella Gail Bush

Individual provider Behavior Technician · NPI 1356168066

Krystabella Gail Bush is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12421 San Jose Blvd Ste 300
Jacksonville, FL 32223-8659
Phone: (904) 619-8430
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1356168066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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