Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003119504 Individual Practitioner Female Practitioner

Kerri S. Licini , MA, MAED, BCBA

Behavior Analyst • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Kerri Licini, MA, MAED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Orange Park, FL. Practice services are available at 782 FOXRIDGE CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

782 Foxridge Center Dr

Orange Park, FL 320655776

Telephone 9046371400
Fax 9048004880
Associated Practice Facility / Clinic
🏢 Licini Inc Facility NPI 1316509896

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Orange Park, FL

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

Practicing in Orange Park, 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: 2024-07-28
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 1-13-14323
1-13-14323

Practice Associates & Co-Workers

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

24 Associated Practitioners
Engel Vega

Behavior Technician

NPI 1003770306
Samantha Licini

Behavior Technician

NPI 1043908494
Savannah Azeez

Behavior Technician

NPI 1134058274
Sherley Vixamar

Behavior Technician

NPI 1134872674
Allison Dickinson

Behavior Technician

NPI 1205440799
Ashley Kaufman

Behavior Technician

NPI 1225967276

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 28, 2024

Registered at 782 FOXRIDGE CENTER DR, ORANGE PARK, FL 320655776 (Tel: 9046371400)

📍
Updated Business Mailing Address July 28, 2024

Registered at 782 FOXRIDGE CENTER DR, ORANGE PARK, FL 320655776 (Tel: 9046371400)

📍
Updated Practice Location July 22, 2019

Registered at 1700 WELLS RD # 15-16, ORANGE PARK, FL 320732337 (Tel: 9046371400)

📍
Updated Business Mailing Address July 22, 2019

Registered at 1700 WELLS RD # 15-16, ORANGE PARK, FL 320732337 (Tel: 9046371400)

👤
Provider Name / Credentials Updated July 22, 2019

Recorded as KERRI LICINI, MA, MAED., BCBA

NPI Profile Active December 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2010

Registered at 2410 MAPLE ST, POINT PLEASANT BORO, NJ 087423634 (Tel: 9734797151)

📍
Updated Business Mailing Address December 06, 2010

Registered at 2410 MAPLE ST, POINT PLEASANT BORO, NJ 087423634 (Tel: 9734797151)

👤
Provider Name / Credentials Updated December 06, 2010

Recorded as KERRI LICINI, M.A.ED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2010

Behavior Analyst

🟢
Initial NPI Registration & Enumeration December 06, 2010

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: 1003119504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2010
Last Update: July 28, 2024
Sole Proprietor: Yes

Mailing Address

782 Foxridge Center Dr

Orange Park, FL 320655776

Phone: 9046371400

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.