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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA DIANE PROVEAUX

Active

JESSICA DIANE PROVEAUX is a Behavior Analyst healthcare provider located in ST AUGUSTINE, Florida. NPI 1093338063 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · ST AUGUSTINE, FL

Registration Details

NPI Number
1093338063
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2020 (6.202797409986 yrs)
Last Updated
Mar 21, 2024

Practice Information

Address
124 CAPULET DR STE 102
ST AUGUSTINE, FL, 320924538
Browse FL providers · Browse ZIP 32092
Phone
9044293859
Fax
9044294416
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in ST AUGUSTINE, FL

Name Credential NPI
MELISSA LEIGH MASON M.S., BCBA 1932361276
MS. THERESA L TOOT L.M.H.C., BCBA 1689813958
LYNNE MURRAY-GRAY 1972826063
PAULA C PINKERTON BA 1346530698
DARREN C TAGLIARINI BCBA 1346533973
MRS. LORI ANN BOLT BCBA 1346527793
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.