Laila Nicole Swain

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1272579 Issued in FL

Practice address

997 Atlantic Blvd
Jacksonville, FL 32233-3311

Phone

(904) 647-1849

NPI assigned

Feb 8, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloom Behavioral Solutions

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1780088609
  NPD
• Bloom Behavioral Solutions, Inc.

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1881953347
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1063227064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W 17TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322062711",
            "telephone_number": "904-413-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322333311",
            "telephone_number": "904-647-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "LAILA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1272579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SW Pharmacy Inc
• SW Pharmacy Inc
• Chelsea Estelle Swails
• David Keith Swain Jr., DPM
• Jordan Swain
• Marygrace C Swain, RBT
• Sanjay Swami, M.D.
• Amy Jennings Swan, MS, PHARMD
• Michael Albert Swanhart, LCSW
• Jahnis Lamasia Swann, NP

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.