Active NPI
Ayola B Harvey
- Behavior Technician
- Jacksonville, FL
National Provider Identifier
1972278752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12276 San Jose Blvd, Ste. 508
Jacksonville, FL 32223 - Phone
- (904) 485-3228
- Fax
- (904) 485-8876
- NPI assigned
- Aug 12, 2021
- 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 | FL | Primary |
Addresses
Primary practice location
12276 San Jose Blvd, Ste. 508
Jacksonville, FL 32223
Mailing address
13504 Citicards Way Unit 1312
Jacksonville, FL 32258-6452
Phone (210) 708-0849
Other names 1
- Ayola Harvey
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": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1972278752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13504 CITICARDS WAY UNIT 1312",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322586452",
"telephone_number": "210-708-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD, STE. 508",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32223",
"telephone_number": "904-485-3228",
"fax_number": "904-485-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "AYOLA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYOLA",
"last_name": "HARVEY",
"code": "1",
"type": "Former 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 Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.