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

Shanice Johnson

Individual provider Behavior Technician · NPI 1750101408

Shanice Johnson is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (904) 320-0712
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 number1750101408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESSeptember 14, 2025
Certification dateSeptember 14, 2025
Mailing address12724 Gran Bay Parkway West, Suite 410, Jacksonville, FL 32258-9486

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