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NPI Code Detail

MEDICARE: JAXE CONSULTING LLC

MEDICARE: JAXE CONSULTING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1154275030
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAXE CONSULTING LLC
Provider Business Mailing Address
First Line : 362 LAWLER ST
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33954-3811
Country : US
Telephone Number : 941-900-4920
Fax Number : 941-900-4920
Provider Business Practice Location Address
First Line : 362 LAWLER ST
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33954-3811
Country : US
Telephone Number : 941-900-4920
Fax Number : 941-900-4920
Authorized Official
Title or Position : BEHAVIOR ANALYST
Name : JACKLYN ARAQUE
Credential :
Telephone Number : 941-900-4920
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “JAXE CONSULTING LLC ” Practice Location

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