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Shannon Broome
NPI 1265238729 · Behavior Technician · Jacksonville, FL
Shannon Broome is a Behavior Technician provider in Jacksonville, FL (NPI 1265238729).
Provider details
- NPI number
- 1265238729
- 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(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
12724 Gran Bay Parkway West
Suite 410
Jacksonville, FL 32258-9486
Phone: (855) 832-6727
Street-level locationGet directions
Mailing address
5426 Lois Ave
Jacksonville, FL 32205-6227
Additional practice locations (1)
- 7775 Baymeadows Way Ste 200Jacksonville, FL 32256-7531Phone: (904) 396-2199
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Shannon Broome's NPI number?
- Shannon Broome's National Provider Identifier (NPI) is 1265238729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Broome's specialty?
- Shannon Broome is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shannon Broome located?
- Shannon Broome's practice location on file with NPPES is 12724 Gran Bay Parkway West, Jacksonville, FL 32258-9486.
- What is Shannon Broome's phone number?
- The practice phone number listed in the NPPES registry for Shannon Broome is (855) 832-6727.
- Is Shannon Broome's NPI active?
- Yes — Shannon Broome's NPI (1265238729) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.