Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881141745 Individual Practitioner Female Practitioner

Michelle Boutron , BCBA

Behavior Analyst • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Michelle Boutron, BCBA is a registered healthcare professional specializing in Behavior Analyst in Jacksonville, FL. Practice services are available at 476 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

476 Riverside Ave

Jacksonville, FL 322024912

Telephone 7576162603
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: 2025-10-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL BACB234532

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Kennedy Purcey

Social Worker - Clinical

NPI 1174455059
NPI 1417708298
Dr. Holland Hayford , PhD

Psychologist - Clinical

NPI 1770942674

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 476 RIVERSIDE AVE, JACKSONVILLE, FL 322024912 (Tel: 7576162603)

📍
Updated Business Mailing Address October 27, 2025

Registered at 228 CEDAR ELM WAY, SAINT AUGUSTINE, FL 320923553 (Tel: 7576172603)

👤
Provider Name / Credentials Updated October 27, 2025

Recorded as MICHELLE BOUTRON, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Behavior Analyst (License #BACB234532 in FL)

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2016

Registered at 49 SHIRLEY LN, NEW LONDON, CT 063202929 (Tel: 7576171950)

📍
Updated Business Mailing Address September 07, 2016

Registered at 49 SHIRLEY LN, NEW LONDON, CT 063202929 (Tel: 7576171950)

👤
Provider Name / Credentials Updated September 07, 2016

Recorded as MICHELLE MARTINEZ, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Behavior Analyst (License #BACB234532 in VA)

🟢
Initial NPI Registration & Enumeration September 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881141745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2016
Last Update: October 27, 2025
Sole Proprietor: Yes

Mailing Address

228 Cedar Elm Way

Saint Augustine, FL 320923553

Phone: 7576172603

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.