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

Nicole Nicholas Antar

Individual provider Behavior Technician · NPI 1053916569

Nicole Nicholas Antar is a Behavior Technician in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Show map & directions

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

Additional practice locations (1)

  • 12276 San Jose Blvd, Jacksonville, FL 32223-8628 — (904) 886-3228

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1053916569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address12276 San Jose Blvd, Jacksonville, FL 32223-8628

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