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Kahli K Ferguson , BCBA

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1841872009 Individual Practitioner Male Practitioner
Practice location in NPPES

12276 San Jose Blvd Ste 508
Jacksonville, FL 322238618

Call 9048863228 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12276 San Jose Blvd Ste 508

Jacksonville, FL 322238618

Telephone 9048863228
Fax 9044858876
Organization at the Same NPPES Address or Phone
Great Strides Rehabilitation Inc. Facility NPI 1942226493

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

487 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-24-70658

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

10550 Deerwood Park Blvd, Building 100, Suite 110

Jacksonville, FL 32256

Phone: 5613236593

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Courtney Eldridge

Physical Therapist

NPI 1477278711
Jenna Mader

Physical Therapist

NPI 1992295943

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address April 06, 2026

Registered at 4620 N STATE ROAD 7 STE 300, LAUDERDALE LAKES, FL 333195867 (Tel: 5613236593)

πŸ‘€
Provider Name / Credentials Updated January 16, 2024

Recorded as KAHLI FERGUSON, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Behavior Analyst (license number reported to NPPES: FL 1-24-70658)

βœ…
NPI Profile Active April 26, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2021

Registered at 12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 322238618 (Tel: 9048863228)

πŸ“
Business Mailing Address (Initial Record) April 26, 2021

Registered at 12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 322238618 (Tel: 9048863228)

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2021

Recorded as KAHLI FERGUSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration April 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841872009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2021
Last Update: April 06, 2026
Sole Proprietor: No

Mailing Address

4620 N State Road 7 Ste 300

Lauderdale Lakes, FL 333195867

Phone: 5613236593

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.