Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Marcelle Medina-Smester

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1689980567 Individual Practitioner Female Practitioner
Practice location in NPPES

3503 Kernan Blvd S Ste 1
Jacksonville, FL 322243605

Call 9044178395 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

3503 Kernan Blvd S Ste 1

Jacksonville, FL 322243605

Telephone 9044178395
Fax 8442318895
Organization at the Same NPPES Address or Phone
Paper Airplane Behavioral Services Pa Facility NPI 1881060309

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

NPI first issued

2010

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Addresses are self-reported to NPPES and may be out of date.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: 2024-02-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Individual
1689980567
Other Identifier Organizational
1881060309 (FL)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location February 22, 2024

Registered at 3503 KERNAN BLVD S STE 1, JACKSONVILLE, FL 322243605 (Tel: 9044178395)

πŸ“
Updated Business Mailing Address February 22, 2024

Registered at 3503 KERNAN BLVD S STE 1, JACKSONVILLE, FL 322243605 (Tel: 9044178395)

πŸ‘€
Provider Name / Credentials Updated February 22, 2024

Recorded as MARCELLE MEDINA-SMESTER

πŸ“
Updated Practice Location May 18, 2019

Registered at 9889 GATE PKWY N STE 303, JACKSONVILLE, FL 322469230 (Tel: 9044178395)

πŸ“
Updated Business Mailing Address May 18, 2019

Registered at 9889 GATE PKWY N STE 303, JACKSONVILLE, FL 322469230 (Tel: 9044178395)

βœ…
NPI Profile Active August 30, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2010

Registered at 6867 SOUTHPOINT DR N, SUITE 106, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

πŸ“
Business Mailing Address (Initial Record) August 30, 2010

Registered at 6867 SOUTHPOINT DR N, SUITE 106, JACKSONVILLE, FL 322168043

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2010

Recorded as MARCELLE MEDINA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2010

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 30, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1689980567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2010
Last Update: February 22, 2024
Sole Proprietor: Yes

Mailing Address

3503 Kernan Blvd S Ste 1

Jacksonville, FL 322243605

Phone: 9044178395

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.