IndividualActive
Jessica Faddoul
NPI 1043986391 · Behavior Technician · Port Orange, FL
Jessica Faddoul is a Behavior Technician provider in Port Orange, FL (NPI 1043986391).
Provider details
- NPI number
- 1043986391
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001
Phone: (386) 767-3752
Street-level locationGet directions
Mailing address
703 Sullivan St
Deltona, FL 32725-3114
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Frequently asked questions
- What is Jessica Faddoul's NPI number?
- Jessica Faddoul's National Provider Identifier (NPI) is 1043986391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Faddoul's specialty?
- Jessica Faddoul is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jessica Faddoul located?
- Jessica Faddoul's practice location on file with NPPES is 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129-3001.
- What is Jessica Faddoul's phone number?
- The practice phone number listed in the NPPES registry for Jessica Faddoul is (386) 767-3752.
- Is Jessica Faddoul's NPI active?
- Yes — Jessica Faddoul's NPI (1043986391) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.