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

Willie A Coleman IV

Individual provider Behavior Technician · NPI 1376172114

Willie A Coleman IV is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1922 Maracaibo Rd
Jacksonville, FL 32211-5020
Phone: (904) 426-2247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-115994 (FL)

Record details

NPI number1376172114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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