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BOLT BEHAVIOR SERVICES NPI 1568909497


NPI Information

NPI: 1568909497
Provider Name: BOLT BEHAVIOR SERVICES
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
741 AUSTIN PL
SAINT JOHNS, FL
ZIP 32259
Phone: (386) 846-8407
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BOLT BEHAVIOR SERVICES is a behavior analyst in Saint Johns, FL. The provider is 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. BOLT BEHAVIOR SERVICES NPI is 1568909497. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

741 AUSTIN PL
SAINT JOHNS, FL
ZIP 32259-472
Phone: (386) 846-8407
Fax: (904) 770-4882

The provider's authorized official is Lori Ann Bolt .
The authorized official title is Senior Behavior Analyst and has the following contact phone number (386) 846-8407.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 1/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1017607800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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