Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689980567 Individual Practitioner Female Practitioner

Marcelle Medina-Smester

Behavior Analyst • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Marcelle Medina-Smester is a registered healthcare professional specializing in Behavior Analyst in Jacksonville, FL. Practice services are available at 3503 KERNAN BLVD S STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3503 Kernan Blvd S Ste 1

Jacksonville, FL 322243605

Telephone 9044178395
Fax 8442318895
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
492 Specialists

Practicing in Jacksonville, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Individual
1689980567
Commercial Insurance / Payer ID Organizational
1881060309 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michael Bauer

Behavior Technician

NPI 1134652472
Katrina Gonzalez , RBT

Behavior Technician

NPI 1245884774

Registered Behavior Technician

Valeria Alvarez

Behavior Technician

NPI 1255144671
Viktoriya Khvoyevskaya

Behavior Technician

NPI 1306641386

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 22, 2024

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

📍
Updated Business Mailing Address February 22, 2024

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

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as MARCELLE MEDINA-SMESTER

📍
Updated Practice Location May 18, 2019

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

📍
Updated Business Mailing Address May 18, 2019

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

NPI Profile Active August 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2010

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

📍
Updated Business Mailing Address August 30, 2010

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

👤
Provider Name / Credentials Updated August 30, 2010

Recorded as MARCELLE MEDINA

🎓
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.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.