Individual provider · Type 1 NPI

Shannon Charity Broome

Behavior Technician · Jacksonville, FL

NPI number 1265238729 Active

Practice location

12724 Gran Bay Parkway West, Suite 410
Jacksonville, FL 32258-9486

Mailing address

5426 Lois Ave
Jacksonville, FL 32205-6227

Other practice locations

  • 7775 Baymeadows Way Ste 200, Jacksonville, FL 32256-7531 · (904) 396-2199

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1265238729

Shannon Charity Broome's National Provider Identifier is 1265238729, issued on Feb 24, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 13, 2025.