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 |