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

Quinton Pettaway

Individual provider Behavior Technician · NPI 1487477949

Quinton Pettaway 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

13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Phone: (904) 416-8921
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-390204 (FL)

Record details

NPI number1487477949
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102

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