Active NPI
Charlotte Ellegood
- Behavior Technician
- Jacksonville, FL
National Provider Identifier
1033836978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-240593
- Practice address
- 7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531 - Phone
- (904) 831-3974
- Fax
- (855) 857-1695
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-240593 | FL | Primary |
Addresses
Primary practice location
7775 Baymeadows Way Ste 200
Jacksonville, FL 32256-7531
Mailing address
6349 Faulkner Dr
Jacksonville, FL 32244-2488
Phone (603) 285-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-240593 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771718400000",
"number": "1033836978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6349 FAULKNER DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322442488",
"telephone_number": "603-285-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7775 BAYMEADOWS WAY STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567531",
"telephone_number": "904-831-3974",
"fax_number": "855-857-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEGOOD",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2026-02-22",
"certification_date": "2026-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-240593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.