IndividualActive
Peyton Bolt
NPI 1104331768 · Behavior Analyst · Saint Johns, FL
Provider details
- NPI number
- 1104331768
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
741 Austin Pl
Saint Johns, FL 32259-5472
Phone: (386) 846-8407
Approximate (ZIP-level) locationGet directions
Mailing address
741 Austin Pl
Saint Johns, FL 32259-5472
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2017-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.