Active NPIIndividual provider

Shayna Wilson

Behavior Technician in Jacksonville, Florida

NPI Number1124753371
Practice location
10175 Fortune Pkwy, Jacksonville, FL 32256-6746
Fax
—
Last updated
July 21, 2022

Shayna Wilson is a Behavior Technician based in Jacksonville, FL. Shayna Wilson practices in Jacksonville, FL. The NPI Number for Shayna Wilson is 1124753371 and holds a License No. RBT-22-225396 (FL). The current practice location address for Shayna Wilson is 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 and can be reached out via phone at 904-895-5865.

Provider Profile Details

NPI Number
1124753371
Provider Name
Shayna Wilson
Provider Entity Type
Individual
Gender
Female
Address
10175 Fortune Pkwy, Jacksonville, FL 32256-6746
Phone Number
904-895-5865
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2022
Last Update Date
July 21, 2022
Certification Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
10175 Fortune Pkwy
Jacksonville, FL 32256-6746
State
Florida
Zip
32256-6746
Phone Number
904-895-5865
Jacksonville, FL 32256Get directions →

Provider Business Mailing Address Details

Address
Po Box 253
Skillman, NJ 08558-0253
City
Skillman
State
NJ
Zip
08558-0253

License Information

License Number
RBT-22-225396
License State
FL
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shayna Wilson?

The NPI number of Shayna Wilson is 1124753371. It was assigned on July 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Shayna Wilson?

Shayna Wilson is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in FL under license number RBT-22-225396.

Where does Shayna Wilson practice?

The practice location is 10175 Fortune Pkwy, Jacksonville, FL 32256-6746. The office can be reached at 904-895-5865 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124753371 directly on the NPPES registry website.

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