Sandy Fawn Booker
Sandy Fawn Booker is an Other Technician in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1083435986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2024 |
| Last updated in NPPES | November 7, 2025 |
| Certification date | November 7, 2025 |
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