IndividualActive
Fletcher Carroll
NPI 1780034017 · Behavior Technician · Palm Coast, FL
Provider details
- NPI number
- 1780034017
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
23 Rybar Ln
Palm Coast, FL 32164-6445
Phone: (386) 316-3004
Street-level locationGet directions
Mailing address
23 Rybar Ln
Palm Coast, FL 32164-6445
Additional practice locations (1)
- 1408 Nw 6th StGainesville, FL 32601-4020Phone: (352) 373-4411
Registry dates
- Enumerated
- 2016-06-17
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.