Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Desiree Carroll

Behavior Technician β€’ Jacksonville, FL

Active NPI 1053034124 Individual Practitioner Female Practitioner
Practice location in NPPES

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 322589486

Call 5126414020 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 5126414020
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

2022

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

1,802 active clinicians are listed under Behavior Technician with a practice address in Jacksonville, FL (75,705 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0.1% of these 1,802 clinicians have the CMS telehealth indicator.

0.1% of these 1,802 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: 2025-09-18
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

8 Historical Events
πŸ“
Updated Practice Location September 18, 2025

Registered at 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 322589486 (Tel: 5126414020)

πŸ“
Updated Business Mailing Address September 18, 2025

Registered at 6626 RIVER FALLS DR S, JACKSONVILLE, FL 322195135

βœ…
NPI Profile Active September 22, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 22, 2022

Registered at 7875 NW 12TH ST STE 110, DORAL, FL 331261815 (Tel: 7862693502)

πŸ“
Business Mailing Address (Initial Record) September 22, 2022

Registered at 10750 SW 11TH ST # UAH104, MIAMI, FL 331742511

πŸ‘€
Provider Name / Credentials (Initial Record) September 22, 2022

Recorded as DESIREE CARROLL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 22, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1053034124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2022
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

6626 River Falls Dr S

Jacksonville, FL 322195135

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.