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

Stephanie Rachell Blackmon

Individual provider Behavior Technician · NPI 1093540122

Stephanie Rachell Blackmon is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6820 Southpoint Pkwy Ste 6
Jacksonville, FL 32216-6277
Phone: (888) 754-0398
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 number1093540122
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 5, 2024

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