IndividualActive
Dallas Fairdale
NPI 1205533577 · Behavior Technician · Jacksonville, FL
Dallas Fairdale is a Behavior Technician provider in Jacksonville, FL (NPI 1205533577).
Provider details
- NPI number
- 1205533577
- 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(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
13553 Atlantic Blvd Ste 100
Jacksonville, FL 32225-4227
Phone: (904) 420-7030
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Dallas Fairdale's NPI number?
- Dallas Fairdale's National Provider Identifier (NPI) is 1205533577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dallas Fairdale's specialty?
- Dallas Fairdale is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dallas Fairdale located?
- Dallas Fairdale's practice location on file with NPPES is 13553 Atlantic Blvd Ste 100, Jacksonville, FL 32225-4227.
- What is Dallas Fairdale's phone number?
- The practice phone number listed in the NPPES registry for Dallas Fairdale is (904) 420-7030.
- Is Dallas Fairdale's NPI active?
- Yes — Dallas Fairdale's NPI (1205533577) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.