IndividualActive
Nicolas Hall
NPI 1003403429 · Behavior Technician · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1003403429
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
166 A1a N
Suite 214
Ponte Vedra Beach, FL 32082
Phone: (904) 638-6388
Approximate (ZIP-level) locationGet directions
Mailing address
130 Corridor Rd Unit 3929
Ponte Vedra Beach, FL 32004-7850
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2020-12-31
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.