IndividualActive
Shailey Manfredo
NPI 1992664502 · Behavior Technician · Jacksonville, FL
Shailey Manfredo is a Behavior Technician provider in Jacksonville, FL (NPI 1992664502).
Provider details
- NPI number
- 1992664502
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Fax: (904) 485-8876
Street-level locationGet directions
Mailing address
9951 Goshawk Ct
Jacksonville, FL 32257-6496
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.