IndividualActive
Kely-Marie Jackson
NPI 1356971360 · Behavior Technician · Jacksonville, FL
Provider details
- NPI number
- 1356971360
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
9141 Cypress Green Dr Ste 2
Jacksonville, FL 32256-2006
Phone: (904) 647-1849
Street-level locationGet directions
Mailing address
1516 12th Ave N
Jax Bch, FL 32250-2834
Registry dates
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.