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

Miss. Shannon Charity Broome

Individual provider Behavior Technician · NPI 1265238729

Miss. Shannon Charity Broome is a Behavior Technician in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7775 Baymeadows Way Ste 200, Jacksonville, FL 32256-7531 — (904) 396-2199

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1265238729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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