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

Tyrese Scott

Individual provider Behavior Technician · NPI 1922719475

Tyrese Scott is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499
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 number1922719475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112

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