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Quinton Pettaway
NPI 1487477949 · Behavior Technician · Jacksonville, FL
Quinton Pettaway is a Behavior Technician provider in Jacksonville, FL (NPI 1487477949).
Provider details
- NPI number
- 1487477949
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-24-390204 (FL)
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
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Phone: (904) 416-8921
Street-level locationGet directions
Mailing address
13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Quinton Pettaway's NPI number?
- Quinton Pettaway's National Provider Identifier (NPI) is 1487477949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Quinton Pettaway's specialty?
- Quinton Pettaway is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Quinton Pettaway located?
- Quinton Pettaway's practice location on file with NPPES is 13121 Atlantic Blvd Ste 200, Jacksonville, FL 32225-0102.
- What is Quinton Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Quinton Pettaway is (904) 416-8921.
- Is Quinton Pettaway's NPI active?
- Yes — Quinton Pettaway's NPI (1487477949) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.