NPIMap

Organization Active NPI

Jacksonville School for Autism

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1295077840
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JACKSONVILLE SCHOOL FOR AUTISM
Practice address
Jacksonville School for Autism
9000 Southside Blvd.
Jacksonville, FL 32256
Phone
(904) 732-4343
Fax
(904) 732-4344
NPI assigned
Mar 21, 2013
Last updated
Jan 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Mrs. Helen Michelle Dunham
Title
Executive Director
Phone
(904) 732-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

Jacksonville School for Autism
9000 Southside Blvd.
Jacksonville, FL 32256

Mailing address

Jacksonville School for Autism
9000 Southside Blvd.
Jacksonville, FL 32256
Phone (904) 732-4343

Other names 1

  • JSA Clinical Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Jacksonville School for Autism2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

9000 Southside Blvd
Jacksonville, FL 32256
Phone (904) 732-4343

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1295077840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JACKSONVILLE SCHOOL FOR AUTISM",
            "address_2": "9000 SOUTHSIDE BLVD.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-732-4343",
            "fax_number": "904-732-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACKSONVILLE SCHOOL FOR AUTISM",
            "address_2": "9000 SOUTHSIDE BLVD.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-732-4343",
            "fax_number": "904-732-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE SCHOOL FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-732-4343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSA Clinical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JSA Clinical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 2, 2023; 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.