NPI 1023785920

Jontal Fawcett

Practitioner Developmental Therapist Jacksonville, FL

Practice location

Address: 3663 Crown Point CT, Jacksonville, FL 32257-5967
Phone: (904) 288-8910
Mailing address: 24 Pindo Palm Dr, Ponte Vedra, FL 32081-6085

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Florida →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023785920
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2021
Record last updated: 9 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.