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

Trevor Chisholm

Individual provider Behavior Technician · NPI 1801489620

Trevor Chisholm is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

6196 Lake Gray Blvd Ste 116
Jacksonville, FL 32244-5867
Phone: (800) 356-4049
Fax: (941) 485-0519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-155213 (FL)

Record details

NPI number1801489620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2021
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021
Mailing address5 Revere Dr Ste 120, Northbrook, IL 60062-8005

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