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

Shontae D Jackson

Individual provider Behavior Technician · NPI 1073226478

Shontae D Jackson is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

45 Alabama Ave
Jacksonville, FL 32218-2677
Phone: (904) 420-2304
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 number1073226478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2022
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022
Mailing address45 Alabama Ave, Jacksonville, FL 32218-2677

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