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Mary Neapolitan Gustavson , MED

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1821404476 Individual Practitioner Female Practitioner
Practice location in NPPES

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 322589486

Call 8558326727 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

12724 Gran Bay Pkwy W Ste 410

Jacksonville, FL 322589486

Telephone 8558326727
Fax 7726759100
Organization at the Same NPPES Address or Phone
Living In Hope Counseling, Llc Facility NPI 1356797567

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

NPI first issued

2014

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Addresses are self-reported to NPPES and may be out of date.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: 2026-07-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-14-15200

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

Clinicians Sharing This Practice Address or Phone

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

4 listed
Nikki Denson Strong , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1538636147

Advanced Practice Registered Nurse

Sandra Jordan

Nurse Practitioner - Family

NPI 1487151452
Dr. Daniela Kloos , MD

Internal Medicine

NPI 1427491414

Doctor of Medicine (M.D.)

Dr. Carolyn Mcclinton , DNP PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407259476

DNPPMHNPBC, Family Nurse Practitioner (Certified)

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 July 30, 2026

Registered at 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 322589486 (Tel: 8558326727)

πŸ“
Updated Business Mailing Address July 30, 2026

Registered at 28 COLONY ST, ST AUGUSTINE, FL 320841208 (Tel: 9044004765)

πŸ“
Updated Practice Location November 10, 2025

Registered at 9100 REGENCY SQUARE BLVD N, JACKSONVILLE, FL 322118103 (Tel: 9042887259)

πŸ“
Updated Business Mailing Address November 10, 2025

Registered at PO BOX 8771, JACKSONVILLE, FL 322390771 (Tel: 9042887259)

πŸ‘€
Provider Name / Credentials Updated November 10, 2025

Recorded as MARY NEAPOLITAN GUSTAVSON, M.ED

βœ…
NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 03, 2014

Registered at 4674-2 HOOD RD, JACKSONVILLE, FL 322571114 (Tel: 9042887259)

πŸ“
Business Mailing Address (Initial Record) July 03, 2014

Registered at PO BOX 24925, JACKSONVILLE, FL 322414925 (Tel: 9042887259)

πŸ‘€
Provider Name / Credentials (Initial Record) July 03, 2014

Recorded as MARY NEAPOLITAN, M.ED

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Behavior Analyst (license number reported to NPPES: FL 1-14-15200)

🟒
Initial NPI Registration & Enumeration July 03, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821404476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2014
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

28 Colony St

St Augustine, FL 320841208

Phone: 9044004765

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.