Individual provider Active NPI

Nathanial Jamal Howell

  • Behavior Technician
  • Jacksonville, FL
National Provider Identifier
1205305596
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9000 Cypress Green Dr
Jacksonville, FL 32256-7791
Phone
(904) 732-4343
Fax
(904) 732-4344
NPI assigned
Nov 16, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9000 Cypress Green Dr
Jacksonville, FL 32256-7791

Mailing address

1300 Shetter Ave Apt 6304
Jacksonville Beach, FL 32250-3462
Phone (205) 863-7898

Other practice location 1

130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Phone (904) 638-6388

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Autism Clinic LLC Current Accepting new patients
Jacksonville School for Autism CurrentSince Sep 1, 2019 Accepting new patients
Nocal Behavioral Services LLC Past Accepting new patients
Jsa Clinical Group, Inc. PastSince Aug 25, 2019 Accepting new patients

Locations

9000 Cypress Green Dr
Jacksonville, FL 32256
Phone (904) 732-4343

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1205305596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SHETTER AVE APT 6304",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503462",
            "telephone_number": "205-863-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 CYPRESS GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567791",
            "telephone_number": "904-732-4343",
            "fax_number": "904-732-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Corridor Rd Unit 3292",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320047833",
            "country_code": "US",
            "telephone_number": "904-638-6388",
            "fax_number": "904-482-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "NATHANIAL",
        "middle_name": "JAMAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Nov 16, 2018; 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.