Individual provider Active NPI

Chloe Mari Pancho

  • Behavior Technician
  • Jacksonville, FL
National Provider Identifier
1417852054
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
2846342 Issued in FL
Practice address
11246 Alumni Way
Jacksonville, FL 32246-6688
Phone
(904) 454-3964
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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 2846342 FL Primary

Addresses

Primary practice location

11246 Alumni Way
Jacksonville, FL 32246-6688

Mailing address

11246 Alumni Way
Jacksonville, FL 32246-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1417852054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 ALUMNI WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 ALUMNI WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466688",
            "telephone_number": "904-454-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHO",
        "first_name": "CHLOE",
        "middle_name": "MARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "2846342",
            "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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.