Kerlicia Danielle Byrd

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499

Phone

(904) 506-4267

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1194548693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 IOTA CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736942",
            "telephone_number": "904-400-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12735 GRAN BAY PKWY W STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584499",
            "telephone_number": "904-506-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KERLICIA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Cedrick Byrd, MT ASCP
• Holly Howell Byrd, RN, APRN
• Jessica Barrett Byrd, BCBA
• Joe Byrd
• Juliane Byrd, M.S. CCC/SLP
• Kimberly Michelle Byrd
• Laneisha Byrd
• Tamara Byrd
• Tiffany Byrd, PA
• Jessica Marie Byrley, ARNP

• 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 Nov 4, 2024; 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.