Active NPI
Allison Gendreau
- Behavior Analyst
- Jacksonville, FL
National Provider Identifier
1336604347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102 - Phone
- (904) 491-2111
- Fax
- (904) 512-0613
- NPI assigned
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0102
Mailing address
311 East College Street
Mount Vernon, GA 30445
Phone (904) 415-9089
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1336604347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 EAST COLLEGE STREET",
"city": "MOUNT VERNON",
"state": "GA",
"postal_code": "30445",
"telephone_number": "904-415-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13121 ATLANTIC BLVD STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322250102",
"telephone_number": "904-491-2111",
"fax_number": "904-512-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDREAU",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"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 Jul 15, 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.