Individual provider · Type 1 NPI

Jessica Diane Proveaux

Behavior Analyst · St. Augustine, FL

NPI number 1093338063 Active

Practice location

124 Capulet Dr Ste 102
St. Augustine, FL 32092-4538

Call (904) 429-3859 Map

Fax (904) 429-4416

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1093338063

Jessica Diane Proveaux's National Provider Identifier is 1093338063, issued on May 25, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 21, 2024.