Jessamyn Carlson
Behavior Technician Assistant Behavior Analyst
124 Capulet Dr
Saint Augustine
, Florida 32092-4537
Jessamyn Carlson
Behavior Technician Assistant Behavior Analyst
124 Capulet Dr
Saint Augustine
, Florida 32092-4537
(866) 610-0580
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About
Features
Specialties
- Assistant Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jessamyn Carlson
- 175 Middle St Unit 1201
- Lake Mary, FL
- Zip : 32746-3625
- Phone : (866) 610-0580
Second Address
- Jessamyn Carlson
- 124 Capulet Dr
- Saint Augustine, FL
- Zip : 32092-4537
- Fax : (904) 429-4416
- Phone : (904) 429-3859
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | ||
| N | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1033673504 |
|---|---|
| Provider Name | Jessamyn Carlson |
| First Address | Lake Mary, FL 32746-3625 |
| Second Address | Saint Augustine, FL 32092-4537 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2019 |
| Last Update Date | 02/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.