(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003537838
Provider Name: SHANTEL VALERIA BOYKIN
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 09/09/2022
Last Updated: 09/09/2022
Provider Practice Location
12276 SAN JOSE BLVD STE 508
JACKSONVILLE
FL
322238618
Practice Location Phone/Fax
Phone: 9048863228
Fax: 9044858876
Provider Mailing Location
12276 SAN JOSE BLVD STE 508
JACKSONVILLE
FL
322238618
Provider Mailing Phone/Fax
Phone: 9048863228
Fax: 9044858876