Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebecca Kickham

Individual provider Developmental Therapist · NPI 1124473509

Rebecca Kickham is a Developmental Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

910 N Jefferson St
Jacksonville, FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA12021 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1124473509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2016
Last updated in NPPESJanuary 15, 2019

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