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

Tia Iman Sojourner Hall, BEHAVIORALTECH

Individual provider Behavior Technician · NPI 1659005197

Tia Iman Sojourner Hall, BEHAVIORALTECH is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
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 number1659005197
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORALTECH
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address17831 Crystal Preserve Dr, Lutz, FL 33548-6408

Other providers in Jacksonville