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

Samantha Jade Massengill

Individual provider Behavior Technician · NPI 1922972843

Samantha Jade Massengill is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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 number1922972843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

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