Reese Nola Bobo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1135 Beach Blvd
Jacksonville Beach, FL 32250-3445

Phone

(904) 372-9082

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1972394575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503445",
            "telephone_number": "904-372-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "REESE",
        "middle_name": "NOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cora Bird
• Diana Rogers Bishop, NP
• Carly Black, MOT, OTR/L
• Blue Star Therapeutics Inc
• Catherine Ann Bobenrieth, M.D
• Betty Boddie, PT, DPT
• Kathleen Gersek Bodkin, RD, LD/N,CDE
• Richard J Boehme, MD
• Kamal I Bohsali, M.D.
• Leslie Margaret Bohsali, ARNP

• Behavior Technician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.