Active NPI
Jaelyn Jurkowski
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1467125294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-183727
- Practice address
- 9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808 - Phone
- (855) 832-6727
- NPI assigned
- Jul 28, 2021
- Last updated
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | 21-183727 | FL | Primary |
Addresses
Primary practice location
9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808
Mailing address
906 NE 15TH Ter
Cape Coral, FL 33909-1458
Phone (239) 233-4023
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-183727 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1467125294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 NE 15TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339091458",
"telephone_number": "239-233-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 FORUM CORPORATE PKWY STE 350",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057808",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURKOWSKI",
"first_name": "JAELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "21-183727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
- Esthere Julien Choute, PHARM D
- Kim Tyanne Julien, PHARM. D.
- Julio L Rodriguez MD PA
- Jill S Jurkiewicz, ARNP
- Edward James Jurkovic, D.O.
- Angela Catherine Juskie
- Tashyka Jussome, PMHNP-BC
- Just Like Family Concierge Medical Transport Services, LLC (Brewster Ambulance Service)
- Justine Healan Inc
- K & M Drugs Fort Myers LLC (K&M Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.