Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Progressive Pediatric Therapy Services of Jacksonville

Organization Behavior Analyst · NPI 1861069676

Progressive Pediatric Therapy Services of Jacksonville provides Behavior Analyst services in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12350 Shore Acres Dr
Jacksonville, FL 32225-5670
Phone: (850) 325-6301
Fax: (850) 325-6302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1861069676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Prejean — Clinic Director · (850) 325-6301
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address1725 Hermitage Blvd, Tallahassee, FL 32308-7709

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